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  5. DERMATOLOGY OF CENTURY VILLAGE WPB LLC

DERMATOLOGY OF CENTURY VILLAGE WPB LLC - Florida Company Profile

Company Details

Entity Name: DERMATOLOGY OF CENTURY VILLAGE WPB LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

DERMATOLOGY OF CENTURY VILLAGE WPB 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: 23 Oct 2006 (18 years ago)
Last Event: LC REVOCATION OF DISSOLUTION
Event Date Filed: 24 Sep 2012 (12 years ago)
Document Number: L06000103142
FEI/EIN Number 14-1981960

Federal Employer Identification (FEI) Number assigned by the IRS.
Mail Address: 4700 Exchange Ct., 110, BOCA RATON, FL, 33431, US
Address: 1840 Forest Hill Blvd, WEST PALM BEACH, FL, 33406, US
ZIP code: 33406
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1730254400 2006-11-21 2019-01-11 4700 EXCHANGE CT STE 110, BOCA RATON, FL, 334314450, US 1840 FOREST HILL BLVD STE 102, WEST PALM BEACH, FL, 334066055, US

Contacts
Phone +1 561-314-2000
Phone +1 561-964-6664

Authorized person
Name ANDREW QUEEN
Role MANAGER
Phone 5613142000

Taxonomy
Taxonomy Code 207N00000X - Dermatology Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DERMATOLOGY OF CENTURY VILLAGE WPB, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2023 141981960 2024-01-09 DERMATOLOGY OF CENTURY VILLAGE WPB, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621399
Sponsor’s telephone number 5619646664
Plan sponsor’s address 1840 FOREST HILL BLVD, STE 102, WEST PALM BEACH, FL, 33406
DERMATOLOGY OF CENTURY VILLAGE WPB, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2022 141981960 2023-06-02 DERMATOLOGY OF CENTURY VILLAGE WPB, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621399
Sponsor’s telephone number 5619646664
Plan sponsor’s address 1840 FOREST HILL BLVD, STE 102, WEST PALM BEACH, FL, 33406
DERMATOLOGY OF CENTURY VILLAGE WPB, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2022 141981960 2024-01-02 DERMATOLOGY OF CENTURY VILLAGE WPB, LLC 8
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621399
Sponsor’s telephone number 5619646664
Plan sponsor’s address 1840 FOREST HILL BLVD, STE 102, WEST PALM BEACH, FL, 33406
DERMATOLOGY OF CENTURY VILLAGE WPB, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2021 141981960 2022-09-30 DERMATOLOGY OF CENTURY VILLAGE WPB, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621399
Sponsor’s telephone number 5619646664
Plan sponsor’s address 1840 FOREST HILL BLVD, STE 102, WEST PALM BEACH, FL, 33406
DERMATOLOGY OF CENTURY VILLAGE WPB, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2020 141981960 2021-10-12 DERMATOLOGY OF CENTURY VILLAGE WPB, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621399
Sponsor’s telephone number 5619646664
Plan sponsor’s address 1840 FOREST HILL BLVD, STE 102, WEST PALM BEACH, FL, 33406
DERMATOLOGY OF CENTURY VILLAGE WPB, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2019 141981960 2020-05-08 DERMATOLOGY OF CENTURY VILLAGE WPB, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621399
Sponsor’s telephone number 5619646664
Plan sponsor’s address 1840 FOREST HILL BLVD, STE 102, WEST PALM BEACH, FL, 33406
DERMATOLOGY OF CENTURY VILLAGE WPB, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2018 141981960 2019-06-26 DERMATOLOGY OF CENTURY VILLAGE WPB, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621399
Sponsor’s telephone number 5619646664
Plan sponsor’s address 1840 FOREST HILL BLVD, STE 102, WEST PALM BEACH, FL, 33406
DERMATOLOGY OF CENTURY VILLAGE WPB, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2017 141981960 2018-10-10 DERMATOLOGY OF CENTURY VILLAGE WPB, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621399
Sponsor’s telephone number 5619646664
Plan sponsor’s address 1840 FOREST HILL BLVD, STE 102, WEST PALM BEACH, FL, 33406
DERMATOLOGY OF CENTURY VILLAGE WPB, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2016 141981960 2017-06-09 DERMATOLOGY OF CENTURY VILLAGE WPB, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621399
Sponsor’s telephone number 5619646664
Plan sponsor’s address 1840 FOREST HILL BLVD, STE 102, WEST PALM BEACH, FL, 33406
DERMATOLOGY OF CENTURY VILLAGE WPB, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2015 141981960 2016-10-10 DERMATOLOGY OF CENTURY VILLAGE WPB, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621399
Sponsor’s telephone number 5619646664
Plan sponsor’s address 1840 FOREST HILL BLVD, STE 102, WEST PALM BEACH, FL, 33406

Key Officers & Management

Name Role
INTEGRATED DERMATOLOGY MANAGEMENT, LLC Manager
CORPORATE CREATIONS NETWORK INC. Agent

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G18000076605 INTEGRATED DERMATOLOGY OF WEST PALM BEACH ACTIVE 2018-07-13 2028-12-31 - 4700 EXCHANGE COURT, SUITE 110-ACCT DEPT, BOCA RATON, FL, 33431
G12000040798 INTEGRATED DERMATOLOGY OF WEST PALM BEACH EXPIRED 2012-05-01 2017-12-31 - 902 CLINT MOORE RD., SUITE 226, BOCA RATON, FL, 33487

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-09-03 1840 Forest Hill Blvd, #102A, WEST PALM BEACH, FL 33406 -
CHANGE OF MAILING ADDRESS 2023-03-23 1840 Forest Hill Blvd, #102A, WEST PALM BEACH, FL 33406 -
REGISTERED AGENT NAME CHANGED 2023-03-23 Corporate Creations Network, Inc. -
REGISTERED AGENT ADDRESS CHANGED 2022-02-07 801 US Highway 1, North Palm Beach, FL 33408 -
LC REVOCATION OF DISSOLUTION 2012-09-24 - -
LC VOLUNTARY DISSOLUTION 2012-09-05 - -

Documents

Name Date
ANNUAL REPORT 2025-01-08
ANNUAL REPORT 2024-04-22
ANNUAL REPORT 2023-03-23
ANNUAL REPORT 2022-02-07
ANNUAL REPORT 2021-01-11
ANNUAL REPORT 2020-01-28
ANNUAL REPORT 2019-02-14
ANNUAL REPORT 2018-02-05
ANNUAL REPORT 2017-03-16
ANNUAL REPORT 2016-03-14

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2217157309 2020-04-29 0455 PPP 4700 EXCHANGE CT STE 110, BOCA RATON, FL, 33431-4450
Loan Status Date 2021-05-08
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 76151
Loan Approval Amount (current) 76151
Undisbursed Amount 0
Franchise Name -
Lender Location ID 17297
Servicing Lender Name Pacific National Bank
Servicing Lender Address 1390 Brickell Ave, MIAMI, FL, 33131-3316
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address BOCA RATON, PALM BEACH, FL, 33431-4450
Project Congressional District FL-23
Number of Employees 9
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 17297
Originating Lender Name Pacific National Bank
Originating Lender Address MIAMI, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 76887.47
Forgiveness Paid Date 2021-04-27

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Companies related by address

4700 Exchange Ct., 110, BOCA RATON, FL, 33431, US

INTEGRATED DERMATOLOGY OF NEW HAMPSHIRE LLC INTEGRATED DERMATOLOGY OF UTAH LLC PBC2 DERM LLC DERM REAL ESTATE HOLDINGS LLC DERMATOLOGY OF BOCA LLC

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Date of last update: 01 Mar 2025

Sources: Florida Department of State

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