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ASSOCIATES IN MEDICAL AND SURGICAL DERMATOLOGY, P.A. - Florida Company Profile

Company Details

Entity Name: ASSOCIATES IN MEDICAL AND SURGICAL DERMATOLOGY, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

ASSOCIATES IN MEDICAL AND SURGICAL DERMATOLOGY, P.A. 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: 09 Nov 1999 (25 years ago)
Date of dissolution: 28 Sep 2018 (7 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 28 Sep 2018 (7 years ago)
Document Number: P99000098565
FEI/EIN Number 593614002

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

Address: 9125 CORSEA DEL FONTANA WAY SUITE 100, NAPLES, FL, 34109
Mail Address: 9125 CORSEA DEL FONTANA WAY SUITE 100, NAPLES, FL, 34109
ZIP code: 34109
County: Collier
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1275538274 2005-06-16 2020-08-22 9125 CORSEA DEL FONTANA WAY, # 100, NAPLES, FL, 341094396, US 9125 CORSEA DEL FONTANA WAY, # 100, NAPLES, FL, 341094396, US

Contacts

Phone +1 239-598-4004
Fax 2395984713

Authorized person

Name DR. DAVID SETH GOODMAN
Role PRESIDENT
Phone 2395984004

Taxonomy

Taxonomy Code 173000000X - Legal Medicine
Is Primary Yes

Other Provider Identifiers

Issuer TUCKER BLUE CROSS #
Number 42568
State FL
Issuer GOODMAN BLUE CROSS #
Number 04756
State FL
Issuer GROUP BLUE CROSS #
Number 45192
State FL

Key Officers & Management

Name Role Address
GOODMAN DAVID S Director 9125 CORSEA DEL FONTANA WAY SUITE 100, NAPLES, FL, 34109
GOODMAN DAVID S President 9125 CORSEA DEL FONTANA WAY SUITE 100, NAPLES, FL, 34109
TUCKER MICHAEL S Vice President 9125 CORSEA DEL FONTANA WAY SUITE 100, NAPLES, FL, 34109
GOODMAN DAVID S Agent 9125 CORSEA DEL FONTANA WAY, NAPLES, FL, 34109

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 - -
REGISTERED AGENT ADDRESS CHANGED 2017-04-14 9125 CORSEA DEL FONTANA WAY, STE 100, NAPLES, FL 34109 -
CHANGE OF PRINCIPAL ADDRESS 2005-03-02 9125 CORSEA DEL FONTANA WAY SUITE 100, NAPLES, FL 34109 -
CHANGE OF MAILING ADDRESS 2005-03-02 9125 CORSEA DEL FONTANA WAY SUITE 100, NAPLES, FL 34109 -

Documents

Name Date
ANNUAL REPORT 2017-04-14
ANNUAL REPORT 2016-04-28
ANNUAL REPORT 2015-01-12
ANNUAL REPORT 2014-04-10
ANNUAL REPORT 2013-03-25
ANNUAL REPORT 2012-01-06
ANNUAL REPORT 2011-01-07
ANNUAL REPORT 2010-02-23
ANNUAL REPORT 2009-02-25
ANNUAL REPORT 2008-01-23

Date of last update: 02 Apr 2025

Sources: Florida Department of State