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  5. SOUTHERNMOST DERMATOLOGY, LLC

SOUTHERNMOST DERMATOLOGY, LLC

Company Details

Entity Name: SOUTHERNMOST DERMATOLOGY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 11 Sep 2006 (18 years ago)
Date of dissolution: 12 Dec 2023 (a year ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 12 Dec 2023 (a year ago)
Document Number: L06000088991
FEI/EIN Number 205524492
Mail Address: 4000 Hollywood Blvd, Hollywood, FL, 33021, US
Address: 1411 WHITE STREET, KEY WEST, FL, 33040, US
ZIP code: 33040
County: Monroe
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1497937791 2007-11-29 2008-02-07 1411 WHITE ST, KEY WEST, FL, 330404813, US 1411 WHITE ST, KEY WEST, FL, 330404813, US

Contacts
Phone +1 305-294-5400
Fax 3052945415

Authorized person
Name DR. MICHAEL EVANS BERMAN
Role OWNER DOCTOR
Phone 3052945400

Taxonomy
Taxonomy Code 207N00000X - Dermatology Physician
License Number ME48734
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MICHAEL E. BERMAN, M. D. PROFIT SHARING 2020 205524492 2021-05-25 SOUTHERNMOST DERMATOLOGY, LLC 4
Three-digit plan number (PN) 002
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 3052945400
Plan sponsor’s address 1411 WHITE STREET, KEY WEST, FL, 33040

Signature of
Role Plan administrator
Date 2021-05-25
Name of individual signing MICHAEL BERMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-05-25
Name of individual signing MICHAEL BERMAN
Valid signature Filed with authorized/valid electronic signature
MICHAEL E. BERMAN, M. D. PROFIT SHARING 2020 205524492 2021-07-13 SOUTHERNMOST DERMATOLOGY, LLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 3052945400
Plan sponsor’s address 1411 WHITE STREET, KEY WEST, FL, 33040

Signature of
Role Plan administrator
Date 2021-07-13
Name of individual signing MICHAEL BERMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-13
Name of individual signing MICHAEL BERMAN
Valid signature Filed with authorized/valid electronic signature
MICHAEL E. BERMAN, M.D. PROFIT SHARING PLAN 2020 205524492 2021-04-21 SOUTHERNMOST DERMATOLOGY, LLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 3052945400
Plan sponsor’s address 1411 WHITE STREET, KEY WEST, FL, 33040

Signature of
Role Plan administrator
Date 2021-04-21
Name of individual signing MICHAEL BERMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-04-21
Name of individual signing MICHAEL BERMAN
Valid signature Filed with authorized/valid electronic signature
MICHAEL E. BERMAN, M.D. PROFIT SHARING PLAN 2019 205524492 2020-05-22 SOUTHERNMOST DERMATOLOGY, LLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 3052945400
Plan sponsor’s address 1411 WHITE STREET, KEY WEST, FL, 33040

Signature of
Role Plan administrator
Date 2020-05-22
Name of individual signing MICHAEL BERMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-05-22
Name of individual signing MICHAEL BERMAN
Valid signature Filed with authorized/valid electronic signature
MICHAEL E. BERMAN, M.D. PROFIT SHARING PLAN 2019 205524492 2020-05-22 SOUTHERNMOST DERMATOLOGY, LLC 3
Three-digit plan number (PN) 002
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 3052945400
Plan sponsor’s address 1411 WHITE STREET, KEY WEST, FL, 33040

Signature of
Role Plan administrator
Date 2020-05-22
Name of individual signing MICHAEL BERMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-05-22
Name of individual signing MICHAEL BERMAN
Valid signature Filed with authorized/valid electronic signature
MICHAEL E. BERMAN, M.D. PROFIT SHARING PLAN 2018 205524492 2019-04-22 SOUTHERNMOST DERMATOLOGY, LLC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 3052945400
Plan sponsor’s address 1411 WHITE STREET, KEY WEST, FL, 33040

Signature of
Role Plan administrator
Date 2019-04-22
Name of individual signing MICHAEL BERMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-04-22
Name of individual signing MICHAEL BERMAN
Valid signature Filed with authorized/valid electronic signature
MICHAEL E. BERMAN, M.D. PROFIT SHARING PLAN 2017 205524492 2018-05-04 SOUTHERNMOST DERMATOLOGY, LLC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 3052945400
Plan sponsor’s address 1411 WHITE STREET, KEY WEST, FL, 33040

Signature of
Role Plan administrator
Date 2018-05-04
Name of individual signing MICHAEL BERMAN
Valid signature Filed with authorized/valid electronic signature
MICHAEL E. BERMAN, M.D. PROFIT SHARING PLAN 2016 205524492 2017-06-15 SOUTHERNMOST DERMATOLOGY, LLC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 3052945400
Plan sponsor’s address 1411 WHITE STREET, KEY WEST, FL, 33040

Signature of
Role Plan administrator
Date 2017-06-15
Name of individual signing MICHAEL BERMAN
Valid signature Filed with authorized/valid electronic signature
MICHAEL E. BERMAN, M.D. PROFIT SHARING PLAN 2015 205524492 2016-06-17 SOUTHERNMOST DERMATOLOGY, LLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 3052945400
Plan sponsor’s address 1411 WHITE STREET, KEY WEST, FL, 33040

Signature of
Role Plan administrator
Date 2016-06-17
Name of individual signing MICHAEL BERMAN
Valid signature Filed with authorized/valid electronic signature
MICHAEL E. BERMAN, M.D. PROFIT SHARING PLAN 2014 205524492 2015-06-24 SOUTHERNMOST DERMATOLOGY, LLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 3052945400
Plan sponsor’s address 1411 WHITE STREET, KEY WEST, FL, 33040

Signature of
Role Plan administrator
Date 2015-06-24
Name of individual signing MICHAEL BERMAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
DERMCARE MANAGEMENT, LLC. Agent

Auth

Name Role
DERMCARE MANAGEMENT, LLC. Auth

Chief Executive Officer

Name Role Address
Shillinger Jeffery Chief Executive Officer 4000 Hollywood Blvd, Hollywood, FL, 33021

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2023-12-12 No data No data
REGISTERED AGENT ADDRESS CHANGED 2022-04-29 4000 Hollywood Blvd, Suite 215-S, Hollywood, FL 33021 No data
CHANGE OF MAILING ADDRESS 2021-02-22 1411 WHITE STREET, KEY WEST, FL 33040 No data
REGISTERED AGENT NAME CHANGED 2021-02-22 DermCare Management LLC No data
LC DISSOCIATION MEM 2020-12-23 No data No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2023-12-12
ANNUAL REPORT 2023-04-13
ANNUAL REPORT 2022-04-29
ANNUAL REPORT 2021-02-22
CORLCDSMEM 2020-12-23
ANNUAL REPORT 2020-05-10
ANNUAL REPORT 2019-05-26
ANNUAL REPORT 2018-03-30
ANNUAL REPORT 2017-02-13
ANNUAL REPORT 2016-04-09

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4509987203 2020-04-27 0455 PPP 1411 WHITE ST, KEY WEST, FL, 33040-4813
Loan Status Date 2021-04-23
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 41200
Loan Approval Amount (current) 41200
Undisbursed Amount 0
Franchise Name -
Lender Location ID 17215
Servicing Lender Name First State Bank of the Florida Keys
Servicing Lender Address 1201 Simonton St, KEY WEST, FL, 33040-3111
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address KEY WEST, MONROE, FL, 33040-4813
Project Congressional District FL-28
Number of Employees 4
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 17215
Originating Lender Name First State Bank of the Florida Keys
Originating Lender Address KEY WEST, FL
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 41552.49
Forgiveness Paid Date 2021-03-05

Related by officers

No related officers

Related by address

4000 Hollywood Blvd, Hollywood, FL, 33021, US

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Date of last update: 01 Feb 2025

Sources: Florida Department of State

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