SKIN CANCER SPECIALIST, INC.
Dermatology at Marquesas Cir, Sarasota, FL

License number
Florida ME81031
Category
Osteopathic Medicine
Type
Dermatology
Owner
Name: APRIL KELLY
Title: PRACTICE ADMINISTRATOR
Phone: (941) 924-8080
Address
Address
5575 Marquesas Cir, Sarasota, FL 34233
National Provider ID: 1205024304
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SKIN CANCER SPECIALIST, INC

Sarasota, FL

Status:
Inactive
Doing business as:
Skin Cancer Specialist
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Jul 26, 2005
Inactive since:
Sep 23, 2011
Phone:
(941) 924-8080 (Phone)
Addresses:
5575 Marquesas Cir, Sarasota, FL 34233 (Physical)
1640 Bay Hbr Ln, Sarasota, FL 34231
State ID:
P05000104190
Business type:
Florida Profit Corporation
Directors:
Martin Jmd Dunn Director, inactive, 5575 Marquesas Cir, Sarasota, FL 34233 (Physical),M. Sharon Dunn Director, inactive
Agent:
Martin Dunn,5575 Marquesas Cir, Sarasota, FL 34233 (Physical)
EIN:
20-3215571

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