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Shapiro Dimitri Medical LLC

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Company Details

Name: Shapiro Dimitri Medical LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Withdrawn
Effective Date: 30 Nov 2012 (13 years ago)
Business ID: 1011915
State of Incorporation: LOUISIANA
Principal Office Address: 2104 Gause Blvd. West, #ASlidell, LA 70460
Historical names: Mississippi Skin and Psoriasis Center of Pascagoula
Mississippi Skin and Psoriasis Center of Meridian
Mississippi Skin and Psoriasis Center of Brandon
Mississippi Dermatology Brandon
Mississippi Dermatology Meridian
Mississippi Dermatology Pascagoula

Agent

Name Role Address
Karen Drake Agent 71 Lancair Drive, Picayune, MS 39466

Secretary

Name Role Address
Karen Drake Secretary 2104 Gause Blvd. West, Suite A, Slidell, LA 70460

President

Name Role Address
Elizabeth Dimitri President 2104 Gause Blvd. West, #A, Slidell, LA 70460

Manager

Name Role Address
Elizabeth Dimitri Manager 2104 GAUSE BLVD W STE A, SLIDELL, LA 70460-4130

National Provider Identifier

NPI Number:
1124373030

Authorized Person:

Name:
ELIZABETH M. DIMITRI
Role:
PHYSICIAN/OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
9856434513
Fax:
6014839520

Filings

Type Status Filed Date Description
Withdrawal Filed 2023-01-24 Withdrawal For Shapiro Dimitri Medical LLC
Correction Amendment Form Filed 2022-03-11 Correction For Shapiro Dimitri Medical LLC
Annual Report LLC Filed 2022-01-03 Annual Report For Shapiro Dimitri Medical LLC
Annual Report LLC Filed 2021-03-10 Annual Report For Shapiro Dimitri Medical LLC
Annual Report LLC Filed 2020-02-28 Annual Report For Shapiro Dimitri Medical LLC
Annual Report LLC Filed 2020-02-27 Annual Report For Shapiro Dimitri Medical LLC
Fictitious Name Assignment Filed 2020-02-18 Fictitious Name Assignment For Steven Shapiro DBA
Amendment Form Filed 2020-02-12 Amendment For Shapiro Dimitri Medical LLC
Annual Report LLC Filed 2019-09-06 Annual Report For Shapiro Dimitri Medical LLC
Notice to Dissolve/Revoke Filed 2019-08-22 Notice to Dissolve/Revoke

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Date of last update: 11 May 2025

Sources: Company Profile on Mississippi Secretary of State Website