Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Palm Beach
    4. ›
  4. 33435
    5. ›
  5. NIELSEN DERMATOLOGY LLC

NIELSEN DERMATOLOGY LLC

Company Details

Entity Name: NIELSEN DERMATOLOGY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 15 Apr 2013 (12 years ago)
Date of dissolution: 20 Dec 2021 (3 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 20 Dec 2021 (3 years ago)
Document Number: L13000054871
FEI/EIN Number 46-2649783
Address: 2620 S SEACREST BLVD, BOYNTON BEACH, FL 33435
Mail Address: 2620 S SEACREST BLVD, Suite A, BOYNTON BEACH, FL 33435
ZIP code: 33435
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1790120426 2013-05-08 2013-07-31 2620 S SEACREST BLVD, BOYNTON BEACH, FL, 334357534, US 2620 S SEACREST BLVD, BOYNTON BEACH, FL, 334357534, US

Contacts
Phone +1 561-737-4888
Fax 5617375221

Authorized person
Name CINDY L NIXON
Role OFFICE MANAGER
Phone 5617374888

Taxonomy
Taxonomy Code 207N00000X - Dermatology Physician
License Number ME0071829
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NIELSEN DERMATOLOGY LLC 401(K) PLAN 2020 462649783 2021-05-10 NIELSEN DERMATOLOGY LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Plan sponsor’s address 1024 BROOKS LANE, DELRAY BEACH, FL, 33483

Signature of
Role Plan administrator
Date 2021-05-10
Name of individual signing DR. TIMOTHY A. NIELSEN
Valid signature Filed with authorized/valid electronic signature
NIELSEN DERMATOLOGY LLC 401(K) PLAN 2020 462649783 2021-04-12 NIELSEN DERMATOLOGY LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Plan sponsor’s address 1024 BROOKS LANE, DELRAY BEACH, FL, 33483

Signature of
Role Plan administrator
Date 2021-04-12
Name of individual signing DR. TIMOTHY A. NIELSEN
Valid signature Filed with authorized/valid electronic signature
NIELSEN DERMATOLOGY LLC 401(K) PLAN 2019 462649783 2020-04-29 NIELSEN DERMATOLOGY LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Plan sponsor’s address 1024 BROOKS LANE, DELRAY BEACH, FL, 33483

Signature of
Role Plan administrator
Date 2020-04-29
Name of individual signing DR. TIMOTHY A. NIELSEN
Valid signature Filed with authorized/valid electronic signature
NIELSEN DERMATOLOGY LLC 401(K) PLAN 2018 462649783 2019-05-17 NIELSEN DERMATOLOGY LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Plan sponsor’s address 1024 BROOKS LANE, DELRAY BEACH, FL, 33483

Signature of
Role Plan administrator
Date 2019-05-17
Name of individual signing DR. TIMOTHY A. NIELSEN
Valid signature Filed with authorized/valid electronic signature
NIELSEN DERMATOLOGY LLC 401(K) PLAN 2017 462649783 2018-07-31 NIELSEN DERMATOLOGY LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Plan sponsor’s address 1024 BROOKS LANE, DELRAY BEACH, FL, 33483

Signature of
Role Plan administrator
Date 2018-07-31
Name of individual signing DR. TIMOTHY A. NIELSEN
Valid signature Filed with authorized/valid electronic signature
NIELSEN DERMATOLOGY LLC 401(K) PLAN 2016 462649783 2017-03-20 NIELSEN DERMATOLOGY LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Plan sponsor’s address 1024 BROOKS LANE, DELRAY BEACH, FL, 33483

Signature of
Role Plan administrator
Date 2017-03-20
Name of individual signing DR. TIMOTHY A. NIELSEN
Valid signature Filed with authorized/valid electronic signature
NIELSEN DERMATOLOGY LLC 401(K) PLAN 2015 462649783 2016-06-06 NIELSEN DERMATOLOGY LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Plan sponsor’s address 1024 BROOKS LANE, DELRAY BEACH, FL, 33483

Signature of
Role Plan administrator
Date 2016-06-06
Name of individual signing DR. TIMOTHY A. NIELSEN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
NIELSEN, TIMOTHY Agent 2620 S. SEACREST BLVD, BOYNTON BEACH, FL 33435

Managing Member

Name Role Address
NIELSEN, TIMOTHY Managing Member 2620 S. SEACREST BLVD, BOYNTON BEACH, FL 33435

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2021-12-20 No data No data
REGISTERED AGENT ADDRESS CHANGED 2015-01-14 2620 S. SEACREST BLVD, BOYNTON BEACH, FL 33435 No data
CHANGE OF MAILING ADDRESS 2014-01-10 2620 S SEACREST BLVD, BOYNTON BEACH, FL 33435 No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2021-12-20
ANNUAL REPORT 2021-04-08
ANNUAL REPORT 2020-05-16
ANNUAL REPORT 2019-02-07
ANNUAL REPORT 2018-02-04
ANNUAL REPORT 2017-01-08
ANNUAL REPORT 2016-01-04
ANNUAL REPORT 2015-01-14
ANNUAL REPORT 2014-01-10
Florida Limited Liability 2013-04-15

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7581777709 2020-05-01 0455 PPP 2620 S SEACREST BLVD, BOYNTON BEACH, FL, 33435-7534
Loan Status Date 2021-02-12
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 69600
Loan Approval Amount (current) 69600
Undisbursed Amount 0
Franchise Name -
Lender Location ID 44449
Servicing Lender Name PNC Bank, National Association
Servicing Lender Address 222 Delaware Ave, WILMINGTON, DE, 19801-1621
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description Unanswered
Project Address BOYNTON BEACH, PALM BEACH, FL, 33435-7534
Project Congressional District FL-22
Number of Employees 7
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 44449
Originating Lender Name PNC Bank, National Association
Originating Lender Address WILMINGTON, DE
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 70114.27
Forgiveness Paid Date 2021-01-26

Related by officers

NIELSEN, TIMOTHY

SUNTAN PROPERTIES LLC MARINE FENDOFF, INCORPORATED

Related by address

2620 S SEACREST BLVD, BOYNTON BEACH, FL 33435

SUNTAN PROPERTIES LLC

Date of last update: 21 Feb 2025

Sources: Florida Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 flprofile.com, Part of Big Data Integrated