| Entity Name: | DERMATOLOGY ASSOCIATES OF THE TREASURE COAST, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 02 Dec 1998 (26 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 21 Oct 2019 (5 years ago) |
| Document Number: | P98000100151 |
| FEI/EIN Number | 65-0878635 |
| Address: | 809 SE OSCEOLA ST., STUART, FL 34994 |
| Mail Address: | 809 SE OSCEOLA ST., STUART, FL 34994 |
| ZIP code: | 34994 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376687384 | 2007-02-16 | 2019-08-08 | 809 SE OSCEOLA ST, STUART, FL, 349942431, US | 809 SE OSCEOLA ST, STUART, FL, 349942431, US | |||||||||||||||||||||||||||||||
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| Phone | +1 772-219-0044 |
| Fax | 7722190709 |
Authorized person
| Name | DANIEL KING |
| Role | PRESIDENT |
| Phone | 7722190044 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| License Number | ME0069441 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PALMETTO-GBA |
| Number | DG5451 |
| State | FL |
| Issuer | INDIVIDUAL NPI |
| Number | 1255327722 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DERMATOLOGY ASSOCIATES OF THE TREASURE COAST, P.A., 401(K) PROFIT SHARING PLAN | 2016 | 650878635 | 2017-10-02 | DERMATOLOGY ASSOCIATES OF THE TREASURE COAST, P.A. | 10 | |||||||||||||
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| Name | Role | Address |
|---|---|---|
| KING, DANIEL | Agent | 809 SE OSCEOLA ST., STUART, FL 34994 |
| Name | Role | Address |
|---|---|---|
| KING, DANIEL | Director | 809 SE OSCEOLA ST., STUART, FL 34994 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2019-10-21 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-10-21 | KING, DANIEL | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-01-20 | 809 SE OSCEOLA ST., STUART, FL 34994 | No data |
| CHANGE OF MAILING ADDRESS | 2008-01-20 | 809 SE OSCEOLA ST., STUART, FL 34994 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2008-01-20 | 809 SE OSCEOLA ST., STUART, FL 34994 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-29 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-04-19 |
| ANNUAL REPORT | 2021-07-28 |
| ANNUAL REPORT | 2020-06-20 |
| REINSTATEMENT | 2019-10-21 |
| ANNUAL REPORT | 2018-03-26 |
| ANNUAL REPORT | 2017-01-30 |
| ANNUAL REPORT | 2016-04-05 |
| ANNUAL REPORT | 2015-02-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
