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  5. LAKESIDE DERMATOLOGY, LLC

LAKESIDE DERMATOLOGY, LLC

Company Details

Entity Name: LAKESIDE DERMATOLOGY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 18 Jun 2008 (17 years ago)
Document Number: L08000059789
FEI/EIN Number 263126631
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 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 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 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

Agent

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

Managing Member

Name Role Address
ROGERS MICHAEL J Managing Member 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 No data 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

Related by officers

ROGERS MICHAEL J

PSS&M PROPERTIES CORPORATION KEYS DISTRIBUTION INC. ISLAND SOARING, INC. CREATIVE CONCEPTS & MORE INC. RIS INSPECTIONS, INC. CAPITAL GREEN BUILDING GROUP, LLC G.R.I.T.S. GRAPHICS, LLC ROGERS INVESTMENTS, LLC INTERNET GATEWAY, INC. VOIP CONNECTIONS CORP.

Related by address

No related companies by address

Date of last update: 03 Jan 2025

Sources: Florida Department of State

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