| Entity Name: | SHAUNA KRANENDONK, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 05 Apr 2006 (19 years ago) |
| Document Number: | L06000035528 |
| FEI/EIN Number | 204637717 |
| Address: | 224 CHIMNEY CORNER LANE, #3002, JUPITER, FL, 33458 |
| Mail Address: | 224 CHIMNEY CORNER LANE, #3002, JUPITER, FL, 33458 |
| ZIP code: | 33458 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710900600 | 2006-07-25 | 2012-12-10 | 224 CHIMNEY CORNER LANE, SUITE#3002, JUPITER, FL, 33458, US | 224 CHIMNEY CORNER LANE, SUITE#3002, JUPITER, FL, 33458, US | |||||||||||||||||||||||||
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| Phone | +1 561-820-0155 |
| Fax | 5616913281 |
Authorized person
| Name | MS. SHAUNA KAY KRANENDONK |
| Role | PHYSICIAN |
| Phone | 5618200155 |
Taxonomy
| Taxonomy Code | 207NS0135X - Procedural Dermatology Physician |
| License Number | ME84713 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | INDIVIDUAL NPI |
| Number | 1659316867 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KRANENDONK SHAUNA | Agent | 224 CHIMNEY CORNER LANE, JUPITER, FL, 33458 |
| Name | Role | Address |
|---|---|---|
| KRANENDONK SHAUNA | Managing Member | 18764 Rio Vista Dr, Tequesta, FL, 33469 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000106017 | SKYE CENTER FOR DERMATOLOGY | ACTIVE | 2011-10-31 | 2026-12-31 | No data | 224 CHIMNEY CORNER LANE, SUITE #3002, JUPITER, FL, 33458, US |
| G10000091470 | COASTAL DERMATOLOGY COSMETIC, LASER & SURGURY CENTER | EXPIRED | 2010-10-06 | 2015-12-31 | No data | 3401 PGA BLVD, SUITE #440, P.B. GARDENS, FL, 33410 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2013-04-26 | 224 CHIMNEY CORNER LANE, #3002, JUPITER, FL 33458 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-07-09 | 224 CHIMNEY CORNER LANE, #3002, JUPITER, FL 33458 | No data |
| CHANGE OF MAILING ADDRESS | 2012-07-09 | 224 CHIMNEY CORNER LANE, #3002, JUPITER, FL 33458 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-09 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-01-28 |
| ANNUAL REPORT | 2021-04-01 |
| ANNUAL REPORT | 2020-05-27 |
| ANNUAL REPORT | 2019-02-26 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-31 |
| ANNUAL REPORT | 2016-03-02 |
| ANNUAL REPORT | 2015-02-23 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5522327301 | 2020-04-30 | 0455 | PPP | 224 Chimney Corner Lane, Suite 3002, Jupiter, FL, 33458 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Feb 2025
Sources: Florida Department of State
