| Entity Name: | INTEGRATED DERMATOLOGY OF WEST BROWARD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 29 Mar 2007 (18 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | L07000033900 |
| FEI/EIN Number | 680647586 |
| Address: | 3444 N UNIVERSITY DR, SUNRISE, FL, 33351 |
| Mail Address: | 902 CLINT MOORE RD, SUITE 226, BOCA RATON, FL, 33487 |
| ZIP code: | 33351 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528181310 | 2007-04-09 | 2007-08-28 | 951 BROKEN SOUND PKWY NW, STE 115, BOCA RATON, FL, 334873507, US | 8035 W OAKLAND PARK BLVD, SUNRISE, FL, 333511116, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 561-241-6676 |
Authorized person
| Name | JEFFREY QUEEN |
| Role | PRESIDENT |
| Phone | 5612416676 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| PBC DERM LLC | Agent |
| Name | Role |
|---|---|
| PBC DERM LLC | Managing Member |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2009-04-25 | 3444 N UNIVERSITY DR, SUNRISE, FL 33351 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-04-25 | 902 CLINT MOORE RD, # 226, BOCA RATON, FL 33487 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-04-08 | 3444 N UNIVERSITY DR, SUNRISE, FL 33351 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-04-23 |
| ANNUAL REPORT | 2013-04-09 |
| ANNUAL REPORT | 2012-02-10 |
| ANNUAL REPORT | 2011-04-28 |
| ANNUAL REPORT | 2010-04-21 |
| ANNUAL REPORT | 2009-04-25 |
| ANNUAL REPORT | 2008-04-25 |
| Florida Limited Liability | 2007-03-29 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
