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INTEGRATED DERMATOLOGY OF BOCA LLC

Company Details

Entity Name: INTEGRATED DERMATOLOGY OF BOCA LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 23 Feb 2007 (18 years ago)
Date of dissolution: 24 Sep 2012 (12 years ago)
Last Event: LC VOLUNTARY DISSOLUTION
Event Date Filed: 24 Sep 2012 (12 years ago)
Document Number: L07000020586
FEI/EIN Number 830474175
Mail Address: 902 CLINT MOORE RD, 226, BOCA RATON, FL, 33487
Address: 30 SE 6TH STREET, BOCA RATON, FL, 33432
ZIP code: 33432
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1609990035 2007-03-19 2007-08-28 30 SE 6TH ST, BOCA RATON, FL, 334326016, US 30 SE 6TH ST, BOCA RATON, FL, 334326016, US

Contacts

Phone +1 561-395-6705

Authorized person

Name JEFFREY QUEEN
Role PRESIDENT
Phone 5612416676

Taxonomy

Taxonomy Code 207N00000X - Dermatology Physician
Is Primary Yes

Agent

Name Role
PBC DERM LLC Agent

Manager

Name Role
PBC DERM LLC Manager

Events

Event Type Filed Date Value Description
LC VOLUNTARY DISSOLUTION 2012-09-24 No data No data
CHANGE OF MAILING ADDRESS 2009-04-18 30 SE 6TH STREET, BOCA RATON, FL 33432 No data
REGISTERED AGENT ADDRESS CHANGED 2009-04-18 902 CLINT MOORE RD, 226, BOCA RATON, FL FL No data
REGISTERED AGENT NAME CHANGED 2008-04-25 PBC DERM LLC No data

Documents

Name Date
LC Voluntary Dissolution 2012-09-24
ANNUAL REPORT 2012-02-10
ANNUAL REPORT 2011-04-28
ANNUAL REPORT 2010-04-21
ANNUAL REPORT 2009-04-18
ANNUAL REPORT 2008-04-25
Florida Limited Liability 2007-02-23

Date of last update: 02 Feb 2025

Sources: Florida Department of State