| Entity Name: | ON SITE DERMATOLOGY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
ON SITE 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. |
| 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: | 26 Apr 2005 (20 years ago) |
| Document Number: | L05000040859 |
| FEI/EIN Number |
22-3913737
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 4700 Exchange Court, Suite 110, Boca Raton, FL, 33431, US |
| Mail Address: | 4700 Exchange Court, Suite 110, Boca Raton, FL, 33431, US |
| ZIP code: | 33431 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | ON SITE DERMATOLOGY, LLC, MINNESOTA | dacdc21a-8cc1-ef11-908c-00155d01c440 | MINNESOTA |
| Headquarter of | ON SITE DERMATOLOGY, LLC, ALABAMA | 001-137-855 | ALABAMA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215978713 | 2006-06-08 | 2019-02-01 | 4700 EXCHANGE CT STE 110, BOCA RATON, FL, 334314450, US | 902 CLINT MOORE RD STE 227, BOCA RATON, FL, 334872800, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 561-314-2000 |
| Phone | +1 877-345-5300 |
Authorized person
| Name | MR. JEFFREY QUEEN |
| Role | PRESIDENT |
| Phone | 5613142000 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MANAGEMENT HOLDINGS MEDICAL | Manager | 4700 Exchange Court, Suite 110, Boca Raton, FL, 33431 |
| CORPORATE CREATIONS NETWORK INC. | Agent | - |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-07-18 | 4700 Exchange Court, Suite 110, Boca Raton, FL 33431 | - |
| CHANGE OF MAILING ADDRESS | 2024-07-18 | 4700 Exchange Court, Suite 110, Boca Raton, FL 33431 | - |
| REGISTERED AGENT NAME CHANGED | 2023-03-23 | Corporate Creations Network Inc. | - |
| REGISTERED AGENT ADDRESS CHANGED | 2022-02-08 | 801 US HIGHWAY 1, NORTH PALM BEACH, FL 33408 | - |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-07-18 |
| ANNUAL REPORT | 2024-03-21 |
| ANNUAL REPORT | 2023-03-23 |
| ANNUAL REPORT | 2022-02-08 |
| AMENDED ANNUAL REPORT | 2021-09-17 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-01-28 |
| ANNUAL REPORT | 2019-02-13 |
| ANNUAL REPORT | 2018-01-30 |
| ANNUAL REPORT | 2017-03-31 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2189827300 | 2020-04-29 | 0455 | PPP | 902 CLINT MOORE RD STE 227, BOCA RATON, FL, 33487-2800 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Date of last update: 03 Mar 2025
Sources: Florida Department of State
