| Entity Name: | SIPERSTEIN DERMATOLOGY GROUP PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 30 Oct 2009 (15 years ago) |
| Last Event: | LC AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 30 Dec 2016 (8 years ago) |
| Document Number: | L09000104935 |
| FEI/EIN Number | 271114689 |
| Address: | 9897 Hagen Ranch Rd., BOYNTON BEACH, FL, 33472, US |
| Mail Address: | 9897 Hagen Ranch Rd., Boynton Beach, FL, 33472, US |
| ZIP code: | 33472 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609101278 | 2009-10-15 | 2020-09-29 | 9897 HAGEN RANCH RD, BOYNTON BEACH, FL, 334727400, US | 9897 HAGEN RANCH RD, BOYNTON BEACH, FL, 334727400, US | |||||||||||||||||||
|
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| Phone | +1 561-364-7774 |
| Fax | 5613647775 |
Authorized person
| Name | MRS. JESSICA IVY |
| Role | PRACTICE ADMINISTRATOR |
| Phone | 5613647774 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| License Number | ME 100726 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SIPERSTEIN ROBYN D | Agent | 9897 Hagen Ranch Rd., BOYNTON BEACH, FL, 33472 |
| Name | Role | Address |
|---|---|---|
| SIPERSTEIN ROBYN D | Managing Member | 9897 Hagen Ranch Rd., BOYNTON BEACH, FL, 33472 |
| Name | Role | Address |
|---|---|---|
| NESTOR ELIZABETH M.D. | Authorized Member | 9897 HAGEN RANCH RD., BOYNTON BEACH, FL, 33472 |
| Name | Role | Address |
|---|---|---|
| Meran Suzanne DO | Auth | 9897 Hagen Ranch Rd., Boynton Beach, FL, 33472 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000059712 | SIPERSTEIN DERMATOLOGY | ACTIVE | 2020-05-29 | 2025-12-31 | No data | 9897 HAGEN RANCH ROAD, BOYNTON BEACH, FL, 33472 |
| G15000077612 | SIEPRSTEIN DERMATOLOGY GROUP | EXPIRED | 2015-07-27 | 2020-12-31 | No data | 9897 HAGEN RANCH ROAD, BOYNTON BEACH, FL, 33437 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT AND NAME CHANGE | 2016-12-30 | SIPERSTEIN DERMATOLOGY GROUP PLLC | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-02-20 | 9897 Hagen Ranch Rd., BOYNTON BEACH, FL 33472 | No data |
| CHANGE OF MAILING ADDRESS | 2015-02-20 | 9897 Hagen Ranch Rd., BOYNTON BEACH, FL 33472 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-02-20 | 9897 Hagen Ranch Rd., BOYNTON BEACH, FL 33472 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-07 |
| ANNUAL REPORT | 2023-04-11 |
| ANNUAL REPORT | 2022-03-11 |
| ANNUAL REPORT | 2021-02-11 |
| ANNUAL REPORT | 2020-03-19 |
| ANNUAL REPORT | 2019-04-05 |
| ANNUAL REPORT | 2018-04-11 |
| ANNUAL REPORT | 2017-04-17 |
| LC Amendment and Name Change | 2016-12-30 |
| ANNUAL REPORT | 2016-03-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
