| Entity Name: | INTEGRATED DERMATOLOGY OF WEST BOCA LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 17 Sep 2008 (16 years ago) |
| Date of dissolution: | 24 Sep 2010 (14 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2010 (14 years ago) |
| Document Number: | L08000088530 |
| FEI/EIN Number | 800259628 |
| Address: | 902 CLINT MOORE RD, STE 226, BOCA RATON, FL, 33487 |
| Mail Address: | 902 CLINT MOORE RD, STE 226, BOCA RATON, FL, 33487 |
| ZIP code: | 33487 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639329345 | 2008-09-30 | 2008-09-30 | 951 BROKEN SOUND PKWY, STE 115, BOCA RATON, FL, 334873507, US | 951 BROKEN SOUND PKWY, STE 115, BOCA RATON, FL, 334873507, US | |||||||||||||||
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| Phone | +1 561-241-6676 |
| Fax | 5619893665 |
Authorized person
| Name | MR. ADAM S PLOTKIN |
| Role | MEDICAL DIRECTOR |
| Phone | 5612416676 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| PBC2 DERM LLC | Agent |
| Name | Role |
|---|---|
| PBC2 DERM LLC | Managing Member |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-04-25 | 902 CLINT MOORE RD, STE 226, BOCA RATON, FL 33487 | No data |
| CHANGE OF MAILING ADDRESS | 2009-04-25 | 902 CLINT MOORE RD, STE 226, BOCA RATON, FL 33487 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-04-25 | 902 CLINT MOORE RD, STE 226, BOCA RATON, FL 33487 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2009-04-25 |
| Florida Limited Liability | 2008-09-17 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
