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  5. UNIVERSITY PARK DERMATOLOGY, PLLC

UNIVERSITY PARK DERMATOLOGY, PLLC

Company Details

Entity Name: UNIVERSITY PARK DERMATOLOGY, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 19 Oct 2001 (23 years ago)
Last Event: CANCEL ADM DISS/REV
Event Date Filed: 10 Oct 2005 (19 years ago)
Document Number: L01000018063
FEI/EIN Number 593760877
Address: 8451 SHADE AVE., SUITE #205, SARASOTA, FL, 34243
Mail Address: 8451 SHADE AVE., SUITE #205, SARASOTA, FL, 34243
ZIP code: 34243
County: Manatee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1043221997 2006-08-10 2021-12-17 8451 SHADE AVE, SUITE 205, SARASOTA, FL, 342432878, US 8451 SHADE AVE, SUITE 205, SARASOTA, FL, 342432878, US

Contacts
Phone +1 941-360-2477
Fax 9413602577

Authorized person
Name DAVID SAX
Role OWNER
Phone 9413602477

Taxonomy
Taxonomy Code 207N00000X - Dermatology Physician
License Number ME83476
State FL
Is Primary Yes

Other Provider Identifiers
Issuer GROUP BC NUMBER
Number 06331
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
UNIVERSITY PARK DERMATOLOGY PLLC 401(K) PROFIT SHARING PLAN 2023 593760877 2024-08-16 UNIVERSITY PARK DERMATOLOGY PLLC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 9413602477
Plan sponsor’s address 8451 SHADE AVENUE, SUITE 205, SARASOTA, FL, 34243
UNIVERSITY PARK DERMATOLOGY, PLLC CASH BALANCE PLAN 2023 593760877 2024-10-15 UNIVERSITY PARK DERMATOLOGY, PLLC 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2023-01-01
Business code 621111
Sponsor’s telephone number 9413602477
Plan sponsor’s address 8451 SHADE AVE STE 205, SARASOTA, FL, 342432878
UNIVERSITY PARK DERMATOLOGY PLLC 401(K) PROFIT SHARING PLAN 2022 593760877 2024-01-03 UNIVERSITY PARK DERMATOLOGY PLLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 9413602477
Plan sponsor’s address 8451 SHADE AVENUE, SUITE 205, SARASOTA, FL, 34243
UNIVERSITY PARK DERMATOLOGY PLLC 401(K) PROFIT SHARING PLAN 2021 593760877 2022-09-12 UNIVERSITY PARK DERMATOLOGY PLLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 9413602477
Plan sponsor’s address 8451 SHADE AVENUE, SUITE 205, SARASOTA, FL, 34243
UNIVERSITY PARK DERMATOLOGY PLLC 401(K) PROFIT SHARING PLAN 2020 593760877 2021-09-21 UNIVERSITY PARK DERMATOLOGY PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 9413602477
Plan sponsor’s address 8451 SHADE AVENUE, SUITE 205, SARASOTA, FL, 34243
UNIVERSITY PARK DERMATOLOGY PLLC 401(K) PROFIT SHARING PLAN 2019 593760877 2020-10-14 UNIVERSITY PARK DERMATOLOGY PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 9413602477
Plan sponsor’s address 8451 SHADE AVENUE, SUITE 205, SARASOTA, FL, 34243
UNIVERSITY PARK DERMATOLOGY PLLC 401(K) PROFIT SHARING PLAN 2018 593760877 2019-10-10 UNIVERSITY PARK DERMATOLOGY PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 9413602477
Plan sponsor’s address 8451 SHADE AVENUE, SUITE 205, SARASOTA, FL, 34243
UNIVERSITY PARK DERMATOLOGY PLLC 401(K) PROFIT SHARING PLAN 2017 593760877 2018-07-06 UNIVERSITY PARK DERMATOLOGY PLLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 9413602477
Plan sponsor’s address 8451 SHADE AVENUE, SUITE 205, SARASOTA, FL, 34243
UNIVERSITY PARK DERMATOLOGY PLLC 401(K) PROFIT SHARING PLAN 2016 593760877 2017-07-10 UNIVERSITY PARK DERMATOLOGY PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 9413602477
Plan sponsor’s address 8451 SHADE AVENUE, SUITE 205, SARASOTA, FL, 34243
UNIVERSITY PARK DERMATOLOGY PLLC 401(K) PROFIT SHARING PLAN 2015 593760877 2016-05-18 UNIVERSITY PARK DERMATOLOGY PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 9413602477
Plan sponsor’s address 8451 SHADE AVENUE, SUITE 205, SARASOTA, FL, 34243

Agent

Name Role Address
SAX DAVID S Agent 8451 SHADE AVE, SARASOTA, FL, 34243

Managing Member

Name Role Address
SAX DAVID S Managing Member 8451 SHADE AVENUE #205, SARASOTA, FL, 34243

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2009-01-26 SAX, DAVID SMD No data
REGISTERED AGENT ADDRESS CHANGED 2009-01-26 8451 SHADE AVE, SUITE 205, SARASOTA, FL 34243 No data
CANCEL ADM DISS/REV 2005-10-10 No data No data
CHANGE OF PRINCIPAL ADDRESS 2005-10-10 8451 SHADE AVE., SUITE #205, SARASOTA, FL 34243 No data
CHANGE OF MAILING ADDRESS 2005-10-10 8451 SHADE AVE., SUITE #205, SARASOTA, FL 34243 No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2005-09-16 No data No data

Documents

Name Date
ANNUAL REPORT 2024-01-31
ANNUAL REPORT 2023-01-25
ANNUAL REPORT 2022-01-25
ANNUAL REPORT 2021-01-28
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-02-07
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-04-04
ANNUAL REPORT 2016-01-12
ANNUAL REPORT 2015-04-16

Related by officers

SAX DAVID S

SANCTUARY AT THE PARK, LLC

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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