| Entity Name: | ORLANDO DERMATOLOGY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 27 Jul 1999 (26 years ago) |
| Document Number: | P99000066596 |
| FEI/EIN Number | 593593636 |
| Address: | 6000 TURKEY LAKE RD, STE. 110, ORLANDO, FL, 32819 |
| Mail Address: | 6000 TURKEY LAKE RD, STE. 110, ORLANDO, FL, 32819 |
| ZIP code: | 32819 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649228834 | 2006-05-04 | 2024-05-16 | 8827 SOUTHERN BREEZE DR, ORLANDO, FL, 328365034, US | 6000 TURKEY LAKE RD, SUITE 110, ORLANDO, FL, 32819, US | |||||||||||||||||||||||||
|
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| Phone | +1 321-663-1888 |
| Phone | +1 407-351-1888 |
| Fax | 4072269804 |
Authorized person
| Name | DR. FAROOQ LATEEF |
| Role | PRESIDENT |
| Phone | 4073511888 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME75932 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| FILINGS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| LATEEF FAROOQ M | President | 8827 SOUTHERN BREEZE DR, ORLANDO, FL, 32836 |
| Name | Role | Address |
|---|---|---|
| BAKSHI FAUZIA | Secretary | 8827 SOUTHERN BREEZE DR, ORLANDO, FL, 32836 |
| Name | Role | Address |
|---|---|---|
| BAKSHI FAUZIA | Treasurer | 8827 SOUTHERN BREEZE DR, ORLANDO, FL, 32836 |
| Name | Role | Address |
|---|---|---|
| Galbraith Raquel | Othe | 6000 TURKEY LAKE RD, ORLANDO, FL, 32819 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2011-01-14 | 6000 TURKEY LAKE RD, STE. 110, ORLANDO, FL 32819 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2006-01-06 | 6000 TURKEY LAKE RD, STE. 110, ORLANDO, FL 32819 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2024-01-25 |
| ANNUAL REPORT | 2023-01-26 |
| ANNUAL REPORT | 2022-01-17 |
| ANNUAL REPORT | 2021-02-15 |
| ANNUAL REPORT | 2020-01-22 |
| ANNUAL REPORT | 2019-02-18 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-10 |
| ANNUAL REPORT | 2016-01-26 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
