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AMERICAN MOBILE DERMATOLOGY, LLC - Florida Company Profile

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Company Details

Entity Name: AMERICAN MOBILE DERMATOLOGY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 11 Apr 2003 (22 years ago)
Last Event: CANCEL ADM DISS/REV
Event Date Filed: 08 Nov 2004 (21 years ago)
Document Number: L03000013178
FEI/EIN Number 900067619
Address: 1054 GATEWAY BLVD., SUITE 106, BOYNTON BEACH, FL, 33426, US
Mail Address: 1054 GATEWAY BLVD., SUITE 106, BOYNTON BEACH, FL, 33426, US
ZIP code: 33426
City: Boynton Beach
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
DEVOURSNEY JAMES Manager 1054 GATEWAY BLVD., BOYNTON BEACH, FL, 33426
SNYDER CHELLINE M Manager 1054 GATEWAY BLVD., BOYNTON BEACH, FL, 33426
KESSLER LISA Auth 1054 GATEWAY BLVD., BOYNTON BEACH, FL, 33426
SNYDER SHAWN C Agent 7931 ORANGE DRIVE, DAVIE, FL, 33328

National Provider Identifier

NPI Number:
1821125584

Authorized Person:

Name:
JAMES JUDE DEVOURSNEY
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
5617389727

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G11000087931 AMERICAN MOBILE DERMPATH LAB EXPIRED 2011-09-06 2016-12-31 - 1054 GATEWAY BLVD, STE110, BOYNTON BEACH, FL, 33426
G11000087939 AMERICAN MOBILE KENDALL LAB EXPIRED 2011-09-06 2016-12-31 - 1054 GATEWAY BLVD, STE110, BOYNTON BEACH, FL, 33426
G11000064663 AMERICAN DERMATOLOGY INSTITUTE EXPIRED 2011-06-27 2016-12-31 - 10301 HAGEN RANCH ROAD, SUITE C-130, BOYNTON BEACH, FL, 33437

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2019-03-29 1054 GATEWAY BLVD., SUITE 106, BOYNTON BEACH, FL 33426 -
CHANGE OF MAILING ADDRESS 2019-03-29 1054 GATEWAY BLVD., SUITE 106, BOYNTON BEACH, FL 33426 -
REGISTERED AGENT NAME CHANGED 2018-10-26 SNYDER, SHAWN C -
REGISTERED AGENT ADDRESS CHANGED 2018-10-26 7931 ORANGE DRIVE, DAVIE, FL 33328 -
CANCEL ADM DISS/REV 2004-11-08 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2004-10-01 - -

Documents

Name Date
ANNUAL REPORT 2024-04-15
ANNUAL REPORT 2023-02-06
ANNUAL REPORT 2022-04-06
ANNUAL REPORT 2021-04-08
ANNUAL REPORT 2020-03-17
ANNUAL REPORT 2019-03-29
AMENDED ANNUAL REPORT 2018-10-26
ANNUAL REPORT 2018-03-06
ANNUAL REPORT 2017-04-17
ANNUAL REPORT 2016-04-12

Paycheck Protection Program

Jobs Reported:
8
Initial Approval Amount:
$66,762
Date Approved:
2020-04-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$66,762
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$67,394.38
Servicing Lender:
Truist Bank
Use of Proceeds:
Payroll: $66,762
Jobs Reported:
9
Initial Approval Amount:
$66,762.5
Date Approved:
2021-02-24
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$66,762.5
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$67,318.85
Servicing Lender:
Truist Bank
Use of Proceeds:
Payroll: $66,759.5
Utilities: $1

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Date of last update: 03 Jul 2025

Sources: Florida Department of State