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  5. HOLLYWOOD DERMATOLOGY AND COSMETIC SURGERY SPECIALISTS, PLLC

HOLLYWOOD DERMATOLOGY AND COSMETIC SURGERY SPECIALISTS, PLLC

Company Details

Entity Name: HOLLYWOOD DERMATOLOGY AND COSMETIC SURGERY SPECIALISTS, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 16 Mar 2007 (18 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 12 Oct 2016 (8 years ago)
Document Number: L07000028849
FEI/EIN Number 20-8675628
Address: 3850 Hollywood Blvd, Suite 301, Hollywood, FL 33021
Mail Address: 3850 Hollywood Blvd, Suite 301, Hollywood, FL 33021
ZIP code: 33021
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1285834416 2007-07-25 2021-03-30 3850 HOLLYWOOD BLVD STE 301, HOLLYWOOD, FL, 330216745, US 3850 HOLLYWOOD BLVD STE 301, HOLLYWOOD, FL, 330216745, US

Contacts
Phone +1 954-961-1200
Fax 9549630378

Authorized person
Name MRS. AMBER BYRD
Role PRACTICE ADMINISTRATOR
Phone 9549611200

Taxonomy
Taxonomy Code 174400000X - Specialist
License Number ME75865
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HOLLYWOOD DERMATOLOGY AND COSMETIC SURGERY SPECIALISTS, PLLC 401(K) PROFIT SHARING PLAN 2014 208675628 2015-10-09 HOLLYWOOD DERMATOLOGY AND COSMETIC SURGERY SPECIALISTS, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-10-01
Business code 621111
Sponsor’s telephone number 9549611200
Plan sponsor’s address 3850 HOLLYWOOD BLVD., SUITE 301, HOLLYWOOD, FL, 33021

Signature of
Role Plan administrator
Date 2015-10-09
Name of individual signing EDUARDO WEISS
Valid signature Filed with authorized/valid electronic signature
HOLLYWOOD DERMATOLOGY AND COSMETIC SURGERY SPECIALISTS, PLLC 401(K) PROFIT SHARING PLAN 2013 208675628 2014-10-10 HOLLYWOOD DERMATOLOGY AND COSMETIC SURGERY SPECIALISTS, PLLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-10-01
Business code 621111
Sponsor’s telephone number 9549611200
Plan sponsor’s address 3850 HOLLYWOOD BLVD., SUITE 301, HOLLYWOOD, FL, 33021

Plan administrator’s name and address
Administrator’s EIN 208675628
Plan administrator’s name HOLLYWOOD DERMATOLOGY AND COSMETIC SURGERY SPECIALISTS, PLLC
Plan administrator’s address 3850 HOLLYWOOD BLVD., SUITE 301, HOLLYWOOD, FL, 33021
Administrator’s telephone number 9549611200

Signature of
Role Plan administrator
Date 2014-10-10
Name of individual signing EDUARDO WEISS
Valid signature Filed with authorized/valid electronic signature
HOLLYWOOD DERMATOLOGY AND COSMETIC SURGERY SPECIALISTS, PLLC 401(K) PROFIT SHARING PLAN 2012 208675628 2013-10-11 HOLLYWOOD DERMATOLOGY AND COSMETIC SURGERY SPECIALISTS, PLLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-10-01
Business code 621111
Sponsor’s telephone number 9549611200
Plan sponsor’s address 3850 HOLLYWOOD BLVD., SUITE 301, HOLLYWOOD, FL, 33021

Plan administrator’s name and address
Administrator’s EIN 208675628
Plan administrator’s name HOLLYWOOD DERMATOLOGY AND COSMETIC SURGERY SPECIALISTS, PLLC
Plan administrator’s address 3850 HOLLYWOOD BLVD., SUITE 301, HOLLYWOOD, FL, 33021
Administrator’s telephone number 9549611200

Signature of
Role Plan administrator
Date 2013-10-11
Name of individual signing EDUARDO WEISS
Valid signature Filed with authorized/valid electronic signature
HOLLYWOOD DERMATOLOGY AND COSMETIC SURGERY SPECIALISTS, PLLC 401(K) PROFIT SHARING PLAN 2011 208675628 2013-10-11 HOLLYWOOD DERMATOLOGY AND COSMETIC SURGERY SPECIALISTS, PLLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-10-01
Business code 621111
Sponsor’s telephone number 9549611200
Plan sponsor’s address 3850 HOLLYWOOD BLVD., SUITE 301, HOLLYWOOD, FL, 33021

Plan administrator’s name and address
Administrator’s EIN 208675628
Plan administrator’s name HOLLYWOOD DERMATOLOGY AND COSMETIC SURGERY SPECIALISTS, PLLC
Plan administrator’s address 3850 HOLLYWOOD BLVD., SUITE 301, HOLLYWOOD, FL, 33021
Administrator’s telephone number 9549611200

Signature of
Role Plan administrator
Date 2013-10-11
Name of individual signing EDUARDO WEISS
Valid signature Filed with authorized/valid electronic signature
HOLLYWOOD DERMATOLOGY AND COSMETIC SURGERY SPECIALISTS, PLLC 401(K) PROFIT SHARING PLAN 2011 208675628 2012-10-15 HOLLYWOOD DERMATOLOGY AND COSMETIC SURGERY SPECIALISTS, PLLC 31
Three-digit plan number (PN) 001
Effective date of plan 1985-10-01
Business code 621111
Sponsor’s telephone number 9549611200
Plan sponsor’s address 3850 HOLLYWOOD BLVD., SUITE 301, HOLLYWOOD, FL, 33021

Plan administrator’s name and address
Administrator’s EIN 208675628
Plan administrator’s name HOLLYWOOD DERMATOLOGY AND COSMETIC SURGERY SPECIALISTS, PLLC
Plan administrator’s address 3850 HOLLYWOOD BLVD., SUITE 301, HOLLYWOOD, FL, 33021
Administrator’s telephone number 9549611200

Signature of
Role Plan administrator
Date 2012-10-15
Name of individual signing EDUARDO WEISS
Valid signature Filed with authorized/valid electronic signature
HOLLYWOOD DERMATOLOGY AND COSMETIC SURGERY SPECIALISTS, PLLC 401(K) PROFIT SHARING PLAN 2010 208675628 2013-10-11 HOLLYWOOD DERMATOLOGY AND COSMETIC SURGERY SPECIALISTS, PLLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-10-01
Business code 621111
Sponsor’s telephone number 9549611200
Plan sponsor’s address 3850 HOLLYWOOD BLVD., SUITE 301, HOLLYWOOD, FL, 33021

Plan administrator’s name and address
Administrator’s EIN 208675628
Plan administrator’s name HOLLYWOOD DERMATOLOGY AND COSMETIC SURGERY SPECIALISTS, PLLC
Plan administrator’s address 3850 HOLLYWOOD BLVD., SUITE 301, HOLLYWOOD, FL, 33021
Administrator’s telephone number 9549611200

Signature of
Role Plan administrator
Date 2013-10-11
Name of individual signing EDUARDO WEISS
Valid signature Filed with authorized/valid electronic signature
HOLLYWOOD DERMATOLOGY AND COSMETIC SURGERY SPECIALISTS, PLLC 401(K) PROFIT SHARING PLAN 2010 208675628 2011-10-17 HOLLYWOOD DERMATOLOGY AND COSMETIC SURGERY SPECIALISTS, PLLC 23
Three-digit plan number (PN) 001
Effective date of plan 1985-10-01
Business code 621111
Sponsor’s telephone number 9549611200
Plan sponsor’s address 3850 HOLLYWOOD BLVD., SUITE 301, HOLLYWOOD, FL, 33021

Plan administrator’s name and address
Administrator’s EIN 208675628
Plan administrator’s name HOLLYWOOD DERMATOLOGY AND COSMETIC SURGERY SPECIALISTS, PLLC
Plan administrator’s address 3850 HOLLYWOOD BLVD., SUITE 301, HOLLYWOOD, FL, 33021
Administrator’s telephone number 9549611200

Signature of
Role Plan administrator
Date 2011-10-14
Name of individual signing EDUARDO WEISS
Valid signature Filed with authorized/valid electronic signature
HOLLYWOOD DERMATOLOGY AND COSMETIC SURGERY SPECIALISTS, PLLC 401(K) PROFIT SHARING PLAN 2009 208675628 2013-10-11 HOLLYWOOD DERMATOLOGY AND COSMETIC SURGERY SPECIALISTS, PLLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-10-01
Business code 621111
Sponsor’s telephone number 9549611200
Plan sponsor’s address 3850 HOLLYWOOD BLVD., SUITE 301, HOLLYWOOD, FL, 33021

Plan administrator’s name and address
Administrator’s EIN 208675628
Plan administrator’s name HOLLYWOOD DERMATOLOGY AND COSMETIC SURGERY SPECIALISTS, PLLC
Plan administrator’s address 3850 HOLLYWOOD BLVD., SUITE 301, HOLLYWOOD, FL, 33021
Administrator’s telephone number 9549611200

Signature of
Role Plan administrator
Date 2013-10-11
Name of individual signing EDUARDO WEISS
Valid signature Filed with authorized/valid electronic signature
HOLLYWOOD DERMATOLOGY AND COSMETIC SURGERY SPECIALISTS, PLLC 401(K) PROFIT SHARING PLAN 2009 208675628 2010-10-14 HOLLYWOOD DERMATOLOGY AND COSMETIC SURGERY SPECIALISTS, PLLC 23
Three-digit plan number (PN) 001
Effective date of plan 1985-10-01
Business code 621111
Sponsor’s telephone number 9549611200
Plan sponsor’s address 3850 HOLLYWOOD BLVD., SUITE 301, HOLLYWOOD, FL, 33021

Plan administrator’s name and address
Administrator’s EIN 208675628
Plan administrator’s name HOLLYWOOD DERMATOLOGY AND COSMETIC SURGERY SPECIALISTS, PLLC
Plan administrator’s address 3850 HOLLYWOOD BLVD., SUITE 301, HOLLYWOOD, FL, 33021
Administrator’s telephone number 9549611200

Signature of
Role Plan administrator
Date 2010-10-14
Name of individual signing EDUARDO WEISS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
C T CORPORATION SYSTEM Agent

Member

Name Role Address
Weiss, Eduardo, M.D. Member 4000 Hollywood Blvd, Suite 215-S Hollywood, FL 33021
Falabella, Anna, M.D. Member 4000 Hollywood Blvd, Suite 215-S Hollywood, FL 33021

Chief Executive Officer

Name Role Address
Schillinger, Jeffrey Chief Executive Officer 3850 Hollywood Blvd, Suite 301 Hollywood, FL 33021

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000051327 AVENTURA DERMATOLOGY ACTIVE 2021-04-14 2026-12-31 No data 4000 HOLLYWOOD BLVD, SUITE 215-S, HOLLYWOOD, FL, 33021

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-03-24 3850 Hollywood Blvd, Suite 301, Hollywood, FL 33021 No data
CHANGE OF PRINCIPAL ADDRESS 2024-03-24 3850 Hollywood Blvd, Suite 301, Hollywood, FL 33021 No data
REGISTERED AGENT ADDRESS CHANGED 2023-04-21 1200 South Pine Island Road, Plantation, FL 33324 No data
REGISTERED AGENT NAME CHANGED 2023-04-21 C T Corporation System No data
REINSTATEMENT 2016-10-12 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 No data No data
REINSTATEMENT 2012-10-02 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2012-09-28 No data No data
REINSTATEMENT 2010-10-05 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 No data No data

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J18000705459 TERMINATED 1000000799536 BROWARD 2018-10-05 2028-10-24 $ 600.72 STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200, CORAL SPRINGS FL330654149
J18000705533 TERMINATED 1000000799547 BROWARD 2018-10-05 2038-10-24 $ 31,081.92 STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE COLLECTIONS UNIT, 1415 W US HIGHWAY 90 STE 115, LAKE CITY FL320556156

Documents

Name Date
ANNUAL REPORT 2024-03-24
ANNUAL REPORT 2023-04-21
ANNUAL REPORT 2022-04-27
ANNUAL REPORT 2021-03-05
ANNUAL REPORT 2020-02-18
ANNUAL REPORT 2019-04-03
ANNUAL REPORT 2018-03-06
ANNUAL REPORT 2017-04-26
REINSTATEMENT 2016-10-12
ANNUAL REPORT 2015-03-18

Related by officers

Schillinger, Jeffrey

ANDREW R ALTMAN MD, PA SCHILLINGER DERMCARE INVESTMENTS, INIC. GREATER MIAMI SKIN AND LASER MANAGEMENT INC. FLORIDA ACADEMIC DERMATOLOGY CENTERS, LLC

Related by address

No related companies by address

Date of last update: 27 Jan 2025

Sources: Florida Department of State

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