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ATLANTIC DERMATOLOGY LLC - Florida Company Profile

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Company Details

Entity Name: ATLANTIC DERMATOLOGY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

ATLANTIC DERMATOLOGY LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company 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: 06 Jan 2005 (21 years ago)
Document Number: L05000001644
FEI/EIN Number 202111643

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 1980 N. ATLANTIC AVE., SUITE 722, COCOA BEACH, FL, 32931, US
Mail Address: 1980 N. ATLANTIC AVE., SUITE 722, COCOA BEACH, FL, 32931, US
ZIP code: 32931
City: Cocoa Beach
County: Brevard
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
SMALLWOOD KRISTIN W Manager 56 CRYSTAL RIVER, COCOA BEACH, FL, 32931
SMALLWOOD KRISTIN W Agent 56 CRYSTAL RIVER DR, COCOA BEACH, FL, 32931

National Provider Identifier

NPI Number:
1306957378

Authorized Person:

Name:
MRS. KRISTIN WIDICK SMALLWOOD
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
No
Selected Taxonomy:
207NI0002X - Clinical & Laboratory Dermatological Immunology Physician
Is Primary:
No
Selected Taxonomy:
207NP0225X - Pediatric Dermatology Physician
Is Primary:
No
Selected Taxonomy:
207NS0135X - Procedural Dermatology Physician
Is Primary:
No

Contacts:

Fax:
3217994424

Form 5500 Series

Employer Identification Number (EIN):
202111643
Plan Year:
2015
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
6
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2025-01-07 56 CRYSTAL RIVER DR, COCOA BEACH, FL 32931 -
REGISTERED AGENT ADDRESS CHANGED 2008-01-08 56 CRYSTAL RIVER, COCOA BEACH, FL 32931 -
CHANGE OF PRINCIPAL ADDRESS 2005-08-18 1980 N. ATLANTIC AVE., SUITE 722, COCOA BEACH, FL 32931 -
CHANGE OF MAILING ADDRESS 2005-08-18 1980 N. ATLANTIC AVE., SUITE 722, COCOA BEACH, FL 32931 -

Documents

Name Date
ANNUAL REPORT 2025-01-07
ANNUAL REPORT 2024-01-03
ANNUAL REPORT 2023-01-03
ANNUAL REPORT 2022-01-05
ANNUAL REPORT 2021-01-11
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-01-10
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-01-06
ANNUAL REPORT 2016-01-11

USAspending Awards / Financial Assistance

Date:
2020-04-30
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
55889.00
Total Face Value Of Loan:
55889.00

Paycheck Protection Program

Jobs Reported:
4
Initial Approval Amount:
$55,889
Date Approved:
2020-04-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$55,889
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$56,362.14
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $55,889

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Date of last update: 02 Jul 2025

Sources: Florida Department of State