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  5. NORTH FLORIDA DERMATOLOGY ASSOCIATES, P.A.

NORTH FLORIDA DERMATOLOGY ASSOCIATES, P.A.

Company Details

Entity Name: NORTH FLORIDA DERMATOLOGY ASSOCIATES, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 13 Nov 1984 (40 years ago)
Document Number: H29714
FEI/EIN Number 592467923
Address: 1541 RIVERSIDE AVE, JACKSONVILLE, FL, 32204, US
Mail Address: 1541 RIVERSIDE AVE, JACKSONVILLE, FL, 32204, US
ZIP code: 32204
County: Duval
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTH FLORIDA DERMATOLOGY ASSOCIATES, P.A. 401(K) PLAN 2014 592467923 2016-11-21 NORTH FLORIDA DERMATOLOGY ASSOCIATES, P.A. 112
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 9043544488
Plan sponsor’s address 1541 RIVERSIDE AVENUE, JACKSONVILLE, FL, 322044124
NORTH FLORIDA DERMATOLOGY ASSOCIATES, P.A. 401(K) PLAN 2013 592467923 2014-08-29 NORTH FLORIDA DERMATOLOGY ASSOCIATES, P.A. 112
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-11-12
Business code 621111
Sponsor’s telephone number 9043544488
Plan sponsor’s address 1541 RIVERSIDE AVENUE, JACKSONVILLE, FL, 322044124
NORTH FLORIDA DERMATOLOGY ASSOCIATES, PA 401K PLAN 2012 592467923 2013-09-23 NORTH FLORIDA DERMATOLOGY ASSOCIATES, P.A. 108
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-11-12
Business code 621111
Sponsor’s telephone number 9043544488
Plan sponsor’s address 1541 RIVERSIDE AVENUE, JACKSONVILLE, FL, 322044124

Plan administrator’s name and address
Administrator’s EIN 592467923
Plan administrator’s name NORTH FLORIDA DERMATOLOGY ASSOC P.A.
Plan administrator’s address 1541 RIVERSIDE AVENUE, JACKSONVILLE, FL, 322044124
Administrator’s telephone number 9043544488

Signature of
Role Plan administrator
Date 2013-09-23
Name of individual signing FRANK E. SCHIAVONE
Valid signature Filed with authorized/valid electronic signature
NORTH FLORIDA DERMATOLOGY ASSOCIATES, PA 401K PLAN 2011 592467923 2012-10-11 NORTH FLORIDA DERMATOLOGY ASSOCIATES, P.A. 106
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-11-12
Business code 621111
Sponsor’s telephone number 9043544488
Plan sponsor’s address 1541 RIVERSIDE AVENUE, JACKSONVILLE, FL, 322044124

Plan administrator’s name and address
Administrator’s EIN 592467923
Plan administrator’s name NORTH FLORIDA DERMATOLOGY ASSOC P.A.
Plan administrator’s address 1541 RIVERSIDE AVENUE, JACKSONVILLE, FL, 322044124
Administrator’s telephone number 9043544488

Signature of
Role Plan administrator
Date 2012-10-11
Name of individual signing FRANK E. SCHIAVONE
Valid signature Filed with authorized/valid electronic signature
NORTH FLORIDA DERMATOLOGY ASSOCIATES, PA 401K PLAN 2010 592467923 2011-08-24 NORTH FLORIDA DERMATOLOGY ASSOCIATES, P.A. 85
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-11-12
Business code 621111
Sponsor’s telephone number 9043544488
Plan sponsor’s address 1541 RIVERSIDE AVENUE, JACKSONVILLE, FL, 322044124

Plan administrator’s name and address
Administrator’s EIN 592467923
Plan administrator’s name NORTH FLORIDA DERMATOLOGY ASSOC P.A.
Plan administrator’s address 1541 RIVERSIDE AVENUE, JACKSONVILLE, FL, 322044124
Administrator’s telephone number 9043544488

Signature of
Role Plan administrator
Date 2011-08-24
Name of individual signing FRANK E. SCHIAVONE
Valid signature Filed with authorized/valid electronic signature
NORTH FLORIDA DERMATOLOGY ASSOCIATES, PA 401K PLAN 2009 592467923 2010-09-23 NORTH FLORIDA DERMATOLOGY ASSOCIATES, P.A. 90
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-11-12
Business code 621111
Sponsor’s telephone number 9043544488
Plan sponsor’s address 1541 RIVERSIDE AVENUE, JACKSONVILLE, FL, 322044124

Plan administrator’s name and address
Administrator’s EIN 592467923
Plan administrator’s name NORTH FLORIDA DERMATOLOGY
Plan administrator’s address 1541 RIVERSIDE AVENUE, JACKSONVILLE, FL, 322044124
Administrator’s telephone number 9043544488

Signature of
Role Plan administrator
Date 2010-09-23
Name of individual signing FRANK E. SCHIAVONE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
SCHIAVONE FRANK E Agent 1541 RIVERSIDE AVE, JACKSONVILLE, FL, 32204

President

Name Role Address
SCHIAVONE FRANK E President 1541 RIVERSIDE DRIVE, JACKSONVILLE, FL, 32204

Secretary

Name Role Address
SCHIAVONE FRANK E Secretary 1541 RIVERSIDE DRIVE, JACKSONVILLE, FL, 32204

Treasurer

Name Role Address
SCHIAVONE FRANK E Treasurer 1541 RIVERSIDE DRIVE, JACKSONVILLE, FL, 32204

Director

Name Role Address
SCHIAVONE FRANK E Director 1541 RIVERSIDE DRIVE, JACKSONVILLE, FL, 32204

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G13000009945 NORTH FLORIDA CLINICAL RESEARCH CENTER EXPIRED 2013-01-29 2018-12-31 No data 1551 RIVERSIDE AVE., JACKSONVILLE, FL, 32204

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2017-09-22 No data No data
REINSTATEMENT 1995-03-03 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 1993-08-13 No data No data
NAME CHANGE AMENDMENT 1989-08-23 NORTH FLORIDA DERMATOLOGY ASSOCIATES, P.A. No data

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J14001176485 TERMINATED 1000000644789 DUVAL 2014-10-29 2034-12-17 $ 3,440.66 STATE OF FLORIDA, DEPARTMENT OF REVENUE, JACKSONVILLE SERVICE CENTER, 921 N DAVIS ST STE 250A, JACKSONVILLE FL322096825
J14001176493 LAPSED 1000000644790 DUVAL 2014-10-29 2024-12-17 $ 462.01 STATE OF FLORIDA, DEPARTMENT OF REVENUE, JACKSONVILLE SERVICE CENTER, 921 N DAVIS ST STE 250A, JACKSONVILLE FL322096825

Related by officers

SCHIAVONE FRANK E

SCHIAVONE ORANGE PARK, INC. SCHIAVONE GREENBRIER 124, INC. SCHIAVONE FAMILY INVESTMENTS, LLLP SCHIAVONE GENERAL PARTNER, LLC SCHIAVONE GREENBRIER 45, INC. SCHIAVONE SOUTHSIDE, INC. NFDA MANAGEMENT SERVICES, LLC SCHIAVONE PROPERTY MANAGEMENT, INC. SCHIAVONE IRISH, LLC SCHIAVONE BEACH, LLC

Related by address

1541 RIVERSIDE AVE, JACKSONVILLE, FL, 32204, US

DERM PARTNERS, INC.

1541 RIVERSIDE AVE, JACKSONVILLE, FL, 32204, US

DERM PARTNERS, INC.

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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