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  5. LAKESIDE DERMATOLOGY, LLC

LAKESIDE DERMATOLOGY, LLC - Florida Company Profile

Company Details

Entity Name: LAKESIDE DERMATOLOGY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

LAKESIDE DERMATOLOGY, 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: 18 Jun 2008 (17 years ago)
Document Number: L08000059789
FEI/EIN Number 263126631

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 727 U.S. HIGHWAY 27 SOUTH, SEBRING, FL, 33870
Mail Address: 727 U.S. HIGHWAY 27 SOUTH, SEBRING, FL, 33870
ZIP code: 33870
County: Highlands
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1922257260 2008-09-11 2008-09-11 727 US 27 S, SEBRING, FL, 338702169, US 727 US 27 S, SEBRING, FL, 338702169, US

Contacts
Phone +1 863-385-7183
Fax 8633850088

Authorized person
Name MICHAEL JOSEPH ROGERS
Role SOLE MBR
Phone 8633857183

Taxonomy
Taxonomy Code 207N00000X - Dermatology Physician
License Number ME0058778
State FL
Is Primary Yes
Taxonomy Code 207NS0135X - Procedural Dermatology Physician
License Number ME0058778
State FL
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LAKESIDE DERMATOLOGY LLC CASH BALANCE PLAN 2023 263126631 2024-07-23 LAKESIDE DERMATOLOGY LLC 25
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 8633857183
Plan sponsor’s address 727 US HIGHWAY 27 S, SEBRING, FL, 338702169
LAKESIDE DERMATOLOGY LLC 401(K) PROFIT SHARING PLAN AND TRUST 2023 263126631 2024-07-24 LAKESIDE DERMATOLOGY LLC 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-07-01
Business code 621111
Sponsor’s telephone number 8633857183
Plan sponsor’s address 727 US HIGHWAY 27 S, SEBRING, FL, 338702169
LAKESIDE DERMATOLOGY LLC 401(K) PROFIT SHARING PLAN AND TRUST 2022 263126631 2023-09-14 LAKESIDE DERMATOLOGY LLC 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-07-01
Business code 621111
Sponsor’s telephone number 8633857183
Plan sponsor’s address 727 US HIGHWAY 27 S, SEBRING, FL, 338702169
LAKESIDE DERMATOLOGY LLC CASH BALANCE PLAN 2022 263126631 2023-09-14 LAKESIDE DERMATOLOGY LLC 22
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 8633857183
Plan sponsor’s address 727 US HIGHWAY 27 S, SEBRING, FL, 338702169
LAKESIDE DERMATOLOGY LLC CASH BALANCE PLAN 2021 263126631 2022-06-24 LAKESIDE DERMATOLOGY LLC 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 8633857183
Plan sponsor’s address 727 US HIGHWAY 27 S, SEBRING, FL, 338702169
LAKESIDE DERMATOLOGY LLC 401(K) PROFIT SHARING PLAN AND TRUST 2021 263126631 2022-06-24 LAKESIDE DERMATOLOGY LLC 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-07-01
Business code 621111
Sponsor’s telephone number 8633857183
Plan sponsor’s address 727 US HIGHWAY 27 S, SEBRING, FL, 338702169
LAKESIDE DERMATOLOGY LLC CASH BALANCE PLAN 2020 263126631 2021-06-28 LAKESIDE DERMATOLOGY LLC 23
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 8633857183
Plan sponsor’s address 727 US HIGHWAY 27 S, SEBRING, FL, 338702169
LAKESIDE DERMATOLOGY LLC 401(K) PROFIT SHARING PLAN AND TRUST 2020 263126631 2021-06-28 LAKESIDE DERMATOLOGY LLC 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-07-01
Business code 621111
Sponsor’s telephone number 8633857183
Plan sponsor’s address 727 US HIGHWAY 27 S, SEBRING, FL, 338702169
LAKESIDE DERMATOLOGY LLC 401(K) PROFIT SHARING PLAN AND TRUST 2019 263126631 2020-07-02 LAKESIDE DERMATOLOGY LLC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-07-01
Business code 621111
Sponsor’s telephone number 8633857183
Plan sponsor’s address 727 US HIGHWAY 27 S, SEBRING, FL, 338702169
LAKESIDE DERMATOLOGY LLC CASH BALANCE PLAN 2019 263126631 2020-07-02 LAKESIDE DERMATOLOGY LLC 18
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 8633857183
Plan sponsor’s address 727 US HIGHWAY 27 S, SEBRING, FL, 338702169

Key Officers & Management

Name Role Address
ROGERS MICHAEL J Managing Member 727 U.S. HIGHWAY 27 SOUTH, SEBRING, FL, 33870
ROGERS MICHAEL J Agent 727 U.S. HIGHWAY 27 SOUTH, SEBRING, FL, 33870

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000156142 MICHAEL J ROGERS MD ACTIVE 2022-12-19 2027-12-31 - 727 US HIGHWAY 27 SOUTH, SEBRING, FL, 33870

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-04-05
ANNUAL REPORT 2022-04-29
ANNUAL REPORT 2021-04-21
ANNUAL REPORT 2020-06-08
ANNUAL REPORT 2019-05-01
ANNUAL REPORT 2018-04-30
ANNUAL REPORT 2017-04-14
ANNUAL REPORT 2016-03-08
ANNUAL REPORT 2015-04-08

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9934477000 2020-04-09 0455 PPP 400 AVENUE K SE-suite 3, WINTER HAVEN, FL, 33880-4123
Loan Status Date 2020-12-10
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 253837
Loan Approval Amount (current) 253837
Undisbursed Amount 0
Franchise Name -
Lender Location ID 17113
Servicing Lender Name Citizens Bank and Trust
Servicing Lender Address 2 E Wall St, FROSTPROOF, FL, 33843-2127
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address WINTER HAVEN, POLK, FL, 33880-4123
Project Congressional District FL-18
Number of Employees 25
NAICS code 621111
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 17113
Originating Lender Name Citizens Bank and Trust
Originating Lender Address FROSTPROOF, FL
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 255317.72
Forgiveness Paid Date 2020-11-16

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Companies related by address

No other companies in our directory share the same address as LAKESIDE DERMATOLOGY, LLC

Date of last update: 03 Apr 2025

Sources: Florida Department of State

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