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HOLLYWOOD DERMATOLOGY AND COSMETIC SURGERY SPECIALISTS, PLLC - Florida Company Profile

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Company Details

Entity Name: HOLLYWOOD DERMATOLOGY AND COSMETIC SURGERY SPECIALISTS, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 16 Mar 2007 (18 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 12 Oct 2016 (9 years ago)
Document Number: L07000028849
FEI/EIN Number 20-8675628
Address: 3850 Hollywood Blvd, Suite 301, Hollywood, FL, 33021, US
Mail Address: 3850 Hollywood Blvd, Suite 301, Hollywood, FL, 33021, US
ZIP code: 33021
City: Hollywood
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Schillinger Jeffrey Chief Executive Officer 3850 Hollywood Blvd, Hollywood, FL, 33021
- Agent -

National Provider Identifier

NPI Number:
1285834416
Certification Date:
2021-03-30

Authorized Person:

Name:
MRS. AMBER BYRD
Role:
PRACTICE ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
9549630378

Form 5500 Series

Employer Identification Number (EIN):
208675628
Plan Year:
2014
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
17
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
17
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
19
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
31
Sponsors Telephone Number:

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 - 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 -
CHANGE OF PRINCIPAL ADDRESS 2024-03-24 3850 Hollywood Blvd, Suite 301, Hollywood, FL 33021 -
REGISTERED AGENT ADDRESS CHANGED 2023-04-21 1200 South Pine Island Road, Plantation, FL 33324 -
REGISTERED AGENT NAME CHANGED 2023-04-21 C T Corporation System -
REINSTATEMENT 2016-10-12 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 - -
REINSTATEMENT 2012-10-02 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2012-09-28 - -
REINSTATEMENT 2010-10-05 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 - -

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

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Date of last update: 03 Aug 2025

Sources: Florida Department of State