| Entity Name: | BRACCIANO DERMATOLOGY, PLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
BRACCIANO DERMATOLOGY, PLC 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: | 28 Oct 2005 (19 years ago) |
| Document Number: | L05000105572 |
| FEI/EIN Number |
203697169
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 8430 COOPER CREEK BLVD., SUITE 102, UNIVERSITY PARK, FL, 34201 |
| Mail Address: | 4911 Benito Ct, Lakewood Ranch, FL, 34211, US |
| ZIP code: | 34201 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053362764 | 2006-05-15 | 2011-10-19 | 6539 FLYCATCHER LN, BRADENTON, FL, 342028269, US | 8430 COOPER CREEK BLVD, SUITE 102, UNIVERSITY PARK, FL, 34201, US | |||||||||||||||||||
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| Phone | +1 941-360-2255 |
| Fax | 9414871777 |
Authorized person
| Name | DR. DAVID MICHAEL BRACCIANO SR. |
| Role | PHYSICIAN OWNER |
| Phone | 9413602255 |
Taxonomy
| Taxonomy Code | 207ND0101X - MOHS-Micrographic Surgery Physician |
| License Number | OS7345 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BRACCIANO DAVID M | Manager | 4911 Benito Ct, Lakewood Ranch, FL, 34211 |
| BRACCIANO DAVID M | Agent | 4911 Benito Ct, Lakewood Ranch, FL, 34211 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2018-01-21 | 8430 COOPER CREEK BLVD., SUITE 102, UNIVERSITY PARK, FL 34201 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2018-01-21 | 4911 Benito Ct, Lakewood Ranch, FL 34211 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2007-03-06 | 8430 COOPER CREEK BLVD., SUITE 102, UNIVERSITY PARK, FL 34201 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-12 |
| ANNUAL REPORT | 2024-01-20 |
| ANNUAL REPORT | 2023-01-28 |
| ANNUAL REPORT | 2022-02-03 |
| ANNUAL REPORT | 2021-01-12 |
| ANNUAL REPORT | 2020-02-07 |
| ANNUAL REPORT | 2019-01-15 |
| ANNUAL REPORT | 2018-01-21 |
| ANNUAL REPORT | 2017-01-30 |
| ANNUAL REPORT | 2016-04-18 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5947867305 | 2020-04-30 | 0455 | PPP | 8430 COOPER CREEK BLVD STE 102, UNIVERSITY PARK, FL, 34201 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Feb 2025
Sources: Florida Department of State
