| Entity Name: | COMPREHENSIVE DERMATOLOGY AND DERMATOLOGIC SURGERY, PLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
COMPREHENSIVE DERMATOLOGY AND DERMATOLOGIC SURGERY, PLC 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. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 28 Dec 2009 (15 years ago) |
| Date of dissolution: | 26 Oct 2021 (4 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 26 Oct 2021 (4 years ago) |
| Document Number: | L09000122644 |
| FEI/EIN Number |
271596249
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2915 Lindale Ave, Orlando, FL, 32814, US |
| Mail Address: | 2915 Lindale Ave, Orlando, FL, 32814, US |
| ZIP code: | 32814 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1487093316 | 2013-06-25 | 2013-06-25 | 201 N LAKEMONT AVE, SUITE 100, WINTER PARK, FL, 327923228, US | 201 N LAKEMONT AVE, SUITE 100, WINTER PARK, FL, 327923228, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 407-339-7546 |
Authorized person
| Name | MRS. YVETTE MEJIA |
| Role | BILLING SUPERVISOR |
| Phone | 4073397546 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| License Number | ME105564 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 207ND0101X - MOHS-Micrographic Surgery Physician |
| License Number | ME105564 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207NS0135X - Procedural Dermatology Physician |
| License Number | ME105564 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207YS0123X - Facial Plastic Surgery Physician |
| License Number | ME105587 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207YX0007X - Plastic Surgery within the Head & Neck (Otolaryngology) Physician |
| License Number | ME105587 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 2082S0099X - Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician |
| License Number | ME105587 |
| State | FL |
| Is Primary | No |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| COMPREHENSIVE DERMATOLOGY, PLC 401(K) PLAN | 2021 | 271596246 | 2022-10-17 | COMPREHENSIVE DERMATOLOGY AND DERMATOLOGIC SURGERY, PLC | 7 | |||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2022-10-17 |
| Name of individual signing | ERICA. MAILLER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2015-01-01 |
| Business code | 621399 |
| Plan sponsor’s address | 201 N. LAKEMONT AVE, SUITE 100, WINTER PARK, FL, 32792 |
Signature of
| Role | Plan administrator |
| Date | 2021-10-15 |
| Name of individual signing | ERICA. MAILLER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2015-01-01 |
| Business code | 621399 |
| Plan sponsor’s address | 201 N. LAKEMONT AVE, SUITE 100, WINTER PARK, FL, 32792 |
Signature of
| Role | Plan administrator |
| Date | 2020-07-27 |
| Name of individual signing | ERICA. MAILLER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2015-01-01 |
| Business code | 621399 |
| Plan sponsor’s address | 201 N. LAKEMONT AVE, SUITE 100, WINTER PARK, FL, 32792 |
Signature of
| Role | Plan administrator |
| Date | 2019-02-14 |
| Name of individual signing | JEFFREY A. MAILLER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2015-01-01 |
| Business code | 621399 |
| Plan sponsor’s address | 201 N. LAKEMONT AVE, SUITE 100, WINTER PARK, FL, 32792 |
Signature of
| Role | Plan administrator |
| Date | 2018-06-03 |
| Name of individual signing | JEFFREY A. MAILLER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2015-01-01 |
| Business code | 621399 |
| Plan sponsor’s address | 201 N. LAKEMONT AVE, SUITE 100, WINTER PARK, FL, 32792 |
Signature of
| Role | Plan administrator |
| Date | 2017-08-16 |
| Name of individual signing | JEFFREY A. MAILLER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2015-01-01 |
| Business code | 621399 |
| Plan sponsor’s address | 201 N. LAKEMONT AVE, SUITE 100, WINTER PARK, FL, 32792 |
Signature of
| Role | Plan administrator |
| Date | 2016-07-07 |
| Name of individual signing | JEFFREY A. MAILLER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| MAILLER ERICA A | Managing Member | 2915 Lindale Ave, Orlando, FL, 32814 |
| Mailler Erica ADr. | Agent | 2915 Lindale Ave, Orlando, FL, 32814 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000063439 | COMPREHENSIVE DERMATOLOGY AND FACIAL PLASTIC SURGERY | EXPIRED | 2013-06-24 | 2018-12-31 | - | 1933 DUNDEE DRIVE, WINTER PARK, FL, 32792 |
| G10000065701 | COMPREHENSIVE DERMATOLOGY | ACTIVE | 2010-07-16 | 2025-12-31 | - | 201 NORTH LAKEMONT AVENUE, SUITE 100, WINTER PARK, FL, 32792 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2021-10-26 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2021-02-22 | 2915 Lindale Ave, Orlando, FL 32814 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2021-02-22 | 2915 Lindale Ave, Orlando, FL 32814 | - |
| CHANGE OF MAILING ADDRESS | 2021-02-22 | 2915 Lindale Ave, Orlando, FL 32814 | - |
| REGISTERED AGENT NAME CHANGED | 2016-07-07 | Mailler, Erica A, Dr. | - |
| REINSTATEMENT | 2015-12-07 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | - | - |
| LC AMENDMENT | 2013-10-17 | - | - |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2021-10-26 |
| ANNUAL REPORT | 2021-02-22 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-03-04 |
| ANNUAL REPORT | 2018-02-28 |
| ANNUAL REPORT | 2017-02-12 |
| ANNUAL REPORT | 2016-07-07 |
| REINSTATEMENT | 2015-12-07 |
| ANNUAL REPORT | 2014-02-25 |
| LC Amendment | 2013-10-17 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1748899000 | 2021-05-13 | 0491 | PPS | 201 N Lakemont Ave N/A, Winter Park, FL, 32792-3228 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2896217108 | 2020-04-11 | 0491 | PPP | 201 N LAKEMONT AVE STE 100, WINTER PARK, FL, 32789-3211 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Apr 2025
Sources: Florida Department of State
