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S. MARK BURNETT, M.D., P.A. - Florida Company Profile

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Company Details

Entity Name: S. MARK BURNETT, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 12 Jun 1991 (34 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 12 Oct 2023 (2 years ago)
Document Number: S62255
FEI/EIN Number 650269434
Address: 1545 MOUND ST, SARASOTA, FL, 34236, US
Mail Address: 35 S. Washington Drive, Sarasota, FL, 34236, US
ZIP code: 34236
City: Sarasota
County: Sarasota
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Burnett Steven President 1545 Mound Street, Sarasota, FL, 34236
Moran John A Agent 22 S Links Ave., Sarasota, FL, 34236

National Provider Identifier

NPI Number:
1639468101

Authorized Person:

Name:
S. MARK BURNETT
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
9419511966

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G10000070719 BURNETT DERMATOLOGY ACTIVE 2010-08-01 2025-12-31 - 1545 MOUND STREET, SARASOTA, FL, 34236

Events

Event Type Filed Date Value Description
REINSTATEMENT 2023-10-12 - -
REGISTERED AGENT NAME CHANGED 2023-10-12 Jackson, Matthew -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 - -
CHANGE OF MAILING ADDRESS 2022-03-29 1545 MOUND ST, SARASOTA, FL 34236 -
REGISTERED AGENT ADDRESS CHANGED 2022-03-29 4919 Memorial Highway, Suite 150, Tampa, FL 33634 -
CHANGE OF PRINCIPAL ADDRESS 1997-03-07 1545 MOUND ST, SARASOTA, FL 34236 -

Documents

Name Date
ANNUAL REPORT 2024-02-07
REINSTATEMENT 2023-10-12
ANNUAL REPORT 2022-03-29
ANNUAL REPORT 2021-04-09
ANNUAL REPORT 2020-01-31
ANNUAL REPORT 2019-03-30
ANNUAL REPORT 2018-04-15
ANNUAL REPORT 2017-04-21
ANNUAL REPORT 2016-04-24
ANNUAL REPORT 2015-04-11

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Date of last update: 02 Aug 2025

Sources: Florida Department of State