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COUNTRYSIDE DERMATOLOGY AND LASER CENTER, INC. - Florida Company Profile

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Company Details

Entity Name: COUNTRYSIDE DERMATOLOGY AND LASER CENTER, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

COUNTRYSIDE DERMATOLOGY AND LASER CENTER, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.

Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 18 Dec 1998 (26 years ago)
Date of dissolution: 27 Sep 2024 (8 months ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2024 (8 months ago)
Document Number: P98000105554
FEI/EIN Number 593546644

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 2467 ENTERPRISE RD, SUITE A, CLEARWATER, FL, 33763
Mail Address: 18222 US Hwy 41 N, Lutz, FL, 33549, US
ZIP code: 33763
County: Pinellas
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Ewanowski Rebecca Secretary 18222 US Hwy 41 N, Lutz, FL, 33549
Ewanowski Rebecca Agent 18222 US Hwy 41 N, Lutz, FL, 33549
Ewanowski Christopher President 18222 US Hwy 41 N, Lutz, FL, 33549

National Provider Identifier

NPI Number:
1194914978

Authorized Person:

Name:
DR. SUSAN S ROPER
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
Yes

Contacts:

Fax:
7277911419

Form 5500 Series

Employer Identification Number (EIN):
593546644
Plan Year:
2023
Number Of Participants:
27
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
27
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
26
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
25
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
24
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2024-09-27 - -
CHANGE OF MAILING ADDRESS 2022-03-02 2467 ENTERPRISE RD, SUITE A, CLEARWATER, FL 33763 -
REGISTERED AGENT NAME CHANGED 2022-03-02 Ewanowski, Rebecca -
REGISTERED AGENT ADDRESS CHANGED 2022-03-02 18222 US Hwy 41 N, Lutz, FL 33549 -
CHANGE OF PRINCIPAL ADDRESS 2009-03-25 2467 ENTERPRISE RD, SUITE A, CLEARWATER, FL 33763 -

Documents

Name Date
ANNUAL REPORT 2023-02-15
ANNUAL REPORT 2022-03-02
Reg. Agent Change 2022-01-13
ANNUAL REPORT 2021-02-05
ANNUAL REPORT 2020-01-23
ANNUAL REPORT 2019-04-29
ANNUAL REPORT 2018-01-16
ANNUAL REPORT 2017-02-14
ANNUAL REPORT 2016-01-28
ANNUAL REPORT 2015-01-13

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Date of last update: 02 Jun 2025

Sources: Florida Department of State