| Entity Name: | MOBILEDERM, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 15 Aug 1997 (27 years ago) |
| Document Number: | P97000071129 |
| FEI/EIN Number | 650777838 |
| Address: | 19230 NE 20TH COURT, NORTH MIAMI BEACH, FL, 33179, US |
| Mail Address: | 19230 NE 20TH COURT, NORTH MIAMI BEACH, FL, 33179, US |
| ZIP code: | 33179 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003063405 | 2008-08-27 | 2008-09-10 | 19230 NE 20TH CT, NORTH MIAMI BEACH, FL, 331794369, US | 3200 S UNIVERSITY DR, DAVIE, FL, 333282018, US | |||||||||||||
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| Phone | +1 954-970-5824 |
Authorized person
| Name | AMY DECLUE |
| Role | DIRECTOR, PROVIDER SERVICES |
| Phone | 4078752080 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SKOPIT STANLEY E | Agent | 19230 NE 20TH COURT, NORTH MIAMI BEACH, FL, 33179 |
| Name | Role | Address |
|---|---|---|
| SKOPIT STANLEY E | Director | 19230 NE 20TH COURT, NORTH MIAMI BEACH, FL, 33179 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2006-04-21 | 19230 NE 20TH COURT, NORTH MIAMI BEACH, FL 33179 | No data |
| CHANGE OF MAILING ADDRESS | 2006-04-21 | 19230 NE 20TH COURT, NORTH MIAMI BEACH, FL 33179 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-21 |
| ANNUAL REPORT | 2024-03-14 |
| ANNUAL REPORT | 2023-04-10 |
| ANNUAL REPORT | 2022-03-14 |
| ANNUAL REPORT | 2021-01-14 |
| ANNUAL REPORT | 2020-03-24 |
| ANNUAL REPORT | 2019-04-03 |
| ANNUAL REPORT | 2018-04-09 |
| ANNUAL REPORT | 2017-04-26 |
| ANNUAL REPORT | 2016-04-15 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
