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  5. BEACHSIDE DERMATOLOGY, LLC

BEACHSIDE DERMATOLOGY, LLC

Company Details

Entity Name: BEACHSIDE DERMATOLOGY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 02 Mar 2009 (16 years ago)
Date of dissolution: 22 Sep 2023 (a year ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2023 (a year ago)
Document Number: L09000020329
FEI/EIN Number 264388416
Mail Address: PO Box 362142, MELBOURNE, FL, 32936-2142, US
Address: 2571 W. EAU GALLIE BLVD., SUITE 2, MELBOURNE, FL, 32935, US
ZIP code: 32935
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1851532683 2009-03-06 2009-06-02 2571 W EAU GALLIE BLVD, SUITE 2, MELBOURNE, FL, 329358954, US 2571 W EAU GALLIE BLVD, SUITE 2, MELBOURNE, FL, 329358954, US

Contacts
Phone +1 321-777-9091

Authorized person
Name DR. ROSALIND A FREAS
Role PHYSICIAN
Phone 3217731266

Taxonomy
Taxonomy Code 207N00000X - Dermatology Physician
Is Primary Yes
Taxonomy Code 207ND0101X - MOHS-Micrographic Surgery Physician
Is Primary No
Taxonomy Code 207NS0135X - Procedural Dermatology Physician
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BEACHSIDE DERMATOLOGY LLC 401(K) PROFIT SHARING PLAN 2022 264388416 2023-06-27 BEACHSIDE DERMATOLOGY LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 3217953099
Plan sponsor’s address PO BOX 362142, MELBOURNE, FL, 329362142

Signature of
Role Plan administrator
Date 2023-06-27
Name of individual signing MICHAEL GEMMELL
Valid signature Filed with authorized/valid electronic signature
BEACHSIDE DERMATOLOGY LLC 401(K) PROFIT SHARING PLAN 2021 264388416 2022-07-14 BEACHSIDE DERMATOLOGY LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 3217779091
Plan sponsor’s address 2571 W EAU GALLIE BLVD STE 2, MELBOURNE, FL, 329358302

Signature of
Role Plan administrator
Date 2022-07-14
Name of individual signing MICHAEL GEMMELL
Valid signature Filed with authorized/valid electronic signature
BEACHSIDE DERMATOLOGY LLC 401(K) PROFIT SHARING PLAN 2020 264388416 2021-10-11 BEACHSIDE DERMATOLOGY LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 3217779091
Plan sponsor’s address 2571 W EAU GALLIE BLVD STE 2, MELBOURNE, FL, 329358302

Signature of
Role Plan administrator
Date 2021-10-11
Name of individual signing MICHAEL GEMMELL
Valid signature Filed with authorized/valid electronic signature
BEACHSIDE DERMATOLOGY LLC 401(K) PROFIT SHARING PLAN 2019 264388416 2020-09-03 BEACHSIDE DERMATOLOGY LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 3217779091
Plan sponsor’s address 2571 W EAU GALLIE BLVD STE 2, MELBOURNE, FL, 329358302

Signature of
Role Plan administrator
Date 2020-09-03
Name of individual signing MICHAEL GEMMELL
Valid signature Filed with authorized/valid electronic signature
BEACHSIDE DERMATOLOGY LLC 401(K) PLAN 2018 264388416 2019-08-22 BEACHSIDE DERMATOLOGY LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 3217779091
Plan sponsor’s address 2571 W EAU GALLIE BLVD STE 2, MELBOURNE, FL, 329358302

Signature of
Role Plan administrator
Date 2019-08-16
Name of individual signing MICHAEL GEMMELL
Valid signature Filed with authorized/valid electronic signature
BEACHSIDE DERMATOLOGY LLC DEFINED BENEFIT PLAN 2017 264388416 2018-09-27 BEACHSIDE DERMATOLOGY LLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 3217779031
Plan sponsor’s address 2571 W. EAU GALLIE BLVD, STE 2, MELBOURNE, FL, 32935
BEACHSIDE DERMATOLOGY LLC 401(K) PLAN 2017 264388416 2018-10-15 BEACHSIDE DERMATOLOGY LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 3217779091
Plan sponsor’s address 2571 W EAU GALLIE BLVD STE 2, MELBOURNE, FL, 329358302

Signature of
Role Plan administrator
Date 2018-10-15
Name of individual signing MICHAEL GEMMELL
Valid signature Filed with authorized/valid electronic signature
BEACHSIDE DERMATOLOGY LLC DEFINED BENEFIT PLAN 2016 264388416 2017-10-16 BEACHSIDE DERMATOLOGY LLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 3217779091
Plan sponsor’s address 2571 W. EAU GALLIE BLVD, STE 2, MELBOURNE, FL, 32935
BEACHSIDE DERMATOLOGY LLC 401(K) PLAN 2016 264388416 2017-10-16 BEACHSIDE DERMATOLOGY LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 3217779091
Plan sponsor’s address 2571 W. EAU GALLIE BLVD, STE 2, MELBOURNE, FL, 32935
BEACHSIDE DERMATOLOGY LLC DEFINED BENEFIT PLAN 2015 264388416 2016-10-17 BEACHSIDE DERMATOLOGY LLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 3217779091
Plan sponsor’s address 2571 W. EAU GALLIE BLVD, STE 2, MELBOURNE, FL, 32935

Agent

Name Role Address
FRATTO ROBIN Agent 11140 SOUTH TROPICAL TRL, MERRITT ISLAND, FL, 32952

Managing Member

Name Role Address
FREAS ROSALIND A Managing Member PO Box 362142, MELBOURNE, FL, 329362142

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data
CHANGE OF MAILING ADDRESS 2022-04-22 2571 W. EAU GALLIE BLVD., SUITE 2, MELBOURNE, FL 32935 No data
REGISTERED AGENT ADDRESS CHANGED 2019-04-12 11140 SOUTH TROPICAL TRL, MERRITT ISLAND, FL 32952 No data

Documents

Name Date
ANNUAL REPORT 2022-04-22
ANNUAL REPORT 2021-02-04
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-04-12
ANNUAL REPORT 2018-03-16
ANNUAL REPORT 2017-03-17
ANNUAL REPORT 2016-04-15
ANNUAL REPORT 2015-04-10
ANNUAL REPORT 2014-03-07
ANNUAL REPORT 2013-03-08

Related by officers

FREAS ROSALIND A

MEDARAMA LLC

Related by address

PO Box 362142, MELBOURNE, FL, 32936-2142, US

MEDARAMA LLC

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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