| Entity Name: | MOUM DERMATOLOGY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
MOUM DERMATOLOGY, LLC 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: | 07 Mar 2013 (12 years ago) |
| Date of dissolution: | 28 Dec 2020 (4 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 28 Dec 2020 (4 years ago) |
| Document Number: | L13000034873 |
| FEI/EIN Number |
46-2246996
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2800 S Seacrest Blvd, Suite 280, Boynton Beach, FL, 33435, US |
| Mail Address: | 2800 S Seacrest Blvd, Suite 280, Boynton Beach, FL, 33435, US |
| ZIP code: | 33435 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649616970 | 2013-05-14 | 2013-05-14 | 445 S FEDERAL HWY, BOCA RATON, FL, 334326027, US | 445 S FEDERAL HWY, BOCA RATON, FL, 334326027, US | |||||||||||||||||||
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| Phone | +1 561-395-8701 |
| Fax | 5613679338 |
Authorized person
| Name | DR. ERIC EE MOUM |
| Role | PRESIDENT |
| Phone | 5613958701 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| License Number | ME0058720 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MOUM DERMATOLOGY, LLC 401(K) PROFIT SHARING PLAN | 2017 | 462246996 | 2018-12-04 | MOUM DERMATOLOGY, LLC | 5 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2018-12-04 |
| Name of individual signing | ERIC MOUM |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2014-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 5613958701 |
| Plan sponsor’s address | 2800 S. SEACREST BOULEVARD, SUITE 280, BOYNTON BEACH, FL, 33435 |
Signature of
| Role | Plan administrator |
| Date | 2018-05-14 |
| Name of individual signing | ERIC MOUM |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2014-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 5613958701 |
| Plan sponsor’s address | 2800 S. SEACREST BOULEVARD, SUITE 280, BOYNTON BEACH, FL, 33435 |
Signature of
| Role | Plan administrator |
| Date | 2017-06-26 |
| Name of individual signing | ERIC MOUM |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2014-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 5613958701 |
| Plan sponsor’s address | 2800 S. SEACREST BOULEVARD, SUITE 280, BOYNTON BEACH, FL, 33435 |
Signature of
| Role | Plan administrator |
| Date | 2016-10-04 |
| Name of individual signing | ERIC MOUM |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2014-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 5613958701 |
| Plan sponsor’s address | 2800 S. SEACREST BOULEVARD, SUITE 280, BOYNTON BEACH, FL, 33435 |
Signature of
| Role | Plan administrator |
| Date | 2015-07-16 |
| Name of individual signing | DR. ERIC E. MOUM |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| MOUM ERIC E | Managing Member | 1032 VISTA DEL MAR DRIVE N, DELRAY BEACH, FL, 33483 |
| MOUM ERIC E | Agent | 1032 VISTA DEL MAR DRIVE N, DELRAY BEACH, FL, 33483 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2020-12-28 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2015-04-13 | 2800 S Seacrest Blvd, Suite 280, Boynton Beach, FL 33435 | - |
| CHANGE OF MAILING ADDRESS | 2015-04-13 | 2800 S Seacrest Blvd, Suite 280, Boynton Beach, FL 33435 | - |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2020-12-28 |
| ANNUAL REPORT | 2020-03-12 |
| ANNUAL REPORT | 2019-04-23 |
| ANNUAL REPORT | 2018-03-14 |
| ANNUAL REPORT | 2017-04-03 |
| ANNUAL REPORT | 2016-01-25 |
| ANNUAL REPORT | 2015-04-13 |
| ANNUAL REPORT | 2014-03-27 |
| Florida Limited Liability | 2013-03-07 |
Date of last update: 01 May 2025
Sources: Florida Department of State
