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  5. FIRST COAST DERMATOLOGY, P.A.

FIRST COAST DERMATOLOGY, P.A. - Florida Company Profile

Company Details

Entity Name: FIRST COAST DERMATOLOGY, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

FIRST COAST 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: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 01 Sep 1980 (45 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 01 Aug 2016 (9 years ago)
Document Number: 686082
FEI/EIN Number 592017524

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 4479 BAYMEADOWS RD, JACKSONVILLE, FL, 32217
Mail Address: 4479 BAYMEADOWS RD, JACKSONVILLE, FL, 32217
ZIP code: 32217
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1699968651 2007-08-23 2016-10-06 4479 BAYMEADOWS RD, JACKSONVILLE, FL, 322174716, US 4479 BAYMEADOWS RD, JACKSONVILLE, FL, 322174716, US

Contacts
Phone +1 904-731-8300
Fax 9047377901

Authorized person
Name DR. JUAN ANTONIO ROSARIO-COLLAZO
Role OWNER
Phone 9047318300

Taxonomy
Taxonomy Code 174400000X - Specialist
License Number ME0026592
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FIRST COAST DERMATOLOGY P.A. PROFIT SHARING PLAN 2023 592017524 2024-10-14 FIRST COAST DERMATOLOGY P.A. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1981-03-01
Business code 621111
Sponsor’s telephone number 9047318300
Plan sponsor’s address 4479 BAYMEADOWS ROAD, JACKSONVILLE, FL, 32216

Signature of
Role Plan administrator
Date 2024-10-14
Name of individual signing JUAN A ROSARIO, M.D.
Valid signature Filed with authorized/valid electronic signature
FIRST COAST DERMATOLOGY P.A. PROFIT SHARING PLAN 2022 592017524 2023-10-06 FIRST COAST DERMATOLOGY P.A. 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1981-03-01
Business code 621111
Sponsor’s telephone number 9047318300
Plan sponsor’s address 4479 BAYMEADOWS ROAD, JACKSONVILLE, FL, 32216

Signature of
Role Plan administrator
Date 2023-10-06
Name of individual signing JUAN A ROSARIO, M.D.
Valid signature Filed with authorized/valid electronic signature
FIRST COAST DERMATOLOGY P.A. PROFIT SHARING PLAN 2021 592017524 2022-10-06 FIRST COAST DERMATOLOGY P.A. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1981-03-01
Business code 621111
Sponsor’s telephone number 9047318300
Plan sponsor’s address 4479 BAYMEADOWS ROAD, JACKSONVILLE, FL, 32217

Signature of
Role Plan administrator
Date 2022-10-06
Name of individual signing JUAN A ROSARIO, M.D.
Valid signature Filed with authorized/valid electronic signature
FIRST COAST DERMATOLOGY P.A. PROFIT SHARING PLAN 2020 592017524 2021-09-28 FIRST COAST DERMATOLOGY P.A. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1981-03-01
Business code 621111
Sponsor’s telephone number 9047318300
Plan sponsor’s address 4479 BAYMEADOWS ROAD, JACKSONVILLE, FL, 32216
FIRST COAST DERMATOLOGY P.A. PROFIT SHARING PLAN 2019 592017524 2020-08-27 FIRST COAST DERMATOLOGY P.A. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1981-03-01
Business code 621111
Sponsor’s telephone number 9047318300
Plan sponsor’s address 4479 BAYMEADOWS ROAD, JACKSONVILLE, FL, 32216
FIRST COAST DERMATOLOGY P.A. PROFIT SHARING PLAN 2018 592017524 2019-09-05 FIRST COAST DERMATOLOGY P.A. 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1981-03-01
Business code 621111
Sponsor’s telephone number 9047318300
Plan sponsor’s address 4479 BAYMEADOWS ROAD, JACKSONVILLE, FL, 32216
FIRST COAST DERMATOLOGY P.A. PROFIT SHARING PLAN 2017 592017524 2018-10-15 FIRST COAST DERMATOLOGY P.A. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1981-03-01
Business code 621111
Sponsor’s telephone number 9047318300
Plan sponsor’s address 4479 BAYMEADOWS ROAD, JACKSONVILLE, FL, 32216

Key Officers & Management

Name Role Address
Rosario Juan President 4479 BAYMEADOWS RD, JACKSONVILLE, FL, 32217
Rosario Juan Agent 4479 BAYMEADOWS RD, JACKSONVILLE, FL, 32217

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2017-01-12 Rosario, Juan -
NAME CHANGE AMENDMENT 2016-08-01 FIRST COAST DERMATOLOGY, P.A. -
CHANGE OF MAILING ADDRESS 2011-01-04 4479 BAYMEADOWS RD, JACKSONVILLE, FL 32217 -
REGISTERED AGENT ADDRESS CHANGED 2007-01-11 4479 BAYMEADOWS RD, JACKSONVILLE, FL 32217 -
CANCEL ADM DISS/REV 2005-10-10 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2005-09-16 - -
CHANGE OF PRINCIPAL ADDRESS 2001-03-09 4479 BAYMEADOWS RD, JACKSONVILLE, FL 32217 -

Documents

Name Date
ANNUAL REPORT 2024-02-12
ANNUAL REPORT 2023-01-26
ANNUAL REPORT 2022-01-25
ANNUAL REPORT 2021-01-29
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-02-07
ANNUAL REPORT 2018-03-14
ANNUAL REPORT 2017-01-12
AMENDED ANNUAL REPORT 2016-10-14
Name Change 2016-08-01

Companies related by officers

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JUAN ROSARIO LLC - Active
Florida Limited Liability Co. (2020 )

Companies related by address

4479 BAYMEADOWS RD, JACKSONVILLE, FL, 32217

E.W.P. SMITH PROPERTIES, INC.

4479 BAYMEADOWS RD, JACKSONVILLE, FL, 32217

E.W.P. SMITH PROPERTIES, INC.

Date of last update: 01 Apr 2025

Sources: Florida Department of State

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