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  5. SKIN WELLNESS PHYSICIANS, LLC

SKIN WELLNESS PHYSICIANS, LLC

Company Details

Entity Name: SKIN WELLNESS PHYSICIANS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 09 Jan 2014 (11 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 15 Jan 2017 (8 years ago)
Document Number: L14000004979
FEI/EIN Number 46-4477281
Address: 8625 COLLIER BLVD, NAPLES, FL, 34114
Mail Address: 8625 COLLIER BLVD, NAPLES, FL, 34114
ZIP code: 34114
County: Collier
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1275952244 2014-04-07 2023-12-08 8625 COLLIER BLVD, NAPLES, FL, 341143550, US 8625 COLLIER BLVD UNIT 101, NAPLES, FL, 341143636, US

Contacts
Phone +1 267-210-2034
Phone +1 239-732-0044
Fax 2397320094

Authorized person
Name DR. DANIEL I WASSERMAN
Role OWNER
Phone 2397320044

Taxonomy
Taxonomy Code 207N00000X - Dermatology Physician
License Number ME107188
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SKIN WELLNESS PHYSICIANS, LLC 2023 464477281 2024-11-01 SKIN WELLNESS PHYSICIANS, LLC 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-08-01
Business code 621111
Sponsor’s telephone number 2679738128
Plan sponsor’s address 8625 COLLIER BLVD, NAPLES, FL, 34114

Signature of
Role Plan administrator
Date 2024-11-01
Name of individual signing JULIE WASSERMAN
Valid signature Filed with authorized/valid electronic signature
SKIN WELLNESS PHYSICIANS, LLC 2022 464477281 2023-07-30 SKIN WELLNESS PHYSICIANS, LLC 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-08-01
Business code 621111
Sponsor’s telephone number 2679738128
Plan sponsor’s address 8625 COLLIER BLVD, NAPLES, FL, 34114

Signature of
Role Plan administrator
Date 2023-07-30
Name of individual signing JULIE WASSERMAN
Valid signature Filed with authorized/valid electronic signature
SKIN WELLNESS PHYSICIANS, LLC 2021 464477281 2022-06-29 SKIN WELLNESS PHYSICIANS, LLC 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-08-01
Business code 621111
Sponsor’s telephone number 2679738128
Plan sponsor’s address 8625 COLLIER BLVD, NAPLES, FL, 34114

Signature of
Role Plan administrator
Date 2022-06-29
Name of individual signing JULIE WASSERMAN
Valid signature Filed with authorized/valid electronic signature
SKIN WELLNESS PHYSICIANS, LLC 2020 464477281 2021-07-27 SKIN WELLNESS PHYSICIANS, LLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-08-01
Business code 621111
Sponsor’s telephone number 2679738128
Plan sponsor’s address 8625 COLLIER BLVD, NAPLES, FL, 34114

Signature of
Role Plan administrator
Date 2021-07-27
Name of individual signing JULIE WASSERMAN
Valid signature Filed with authorized/valid electronic signature
SKIN WELLNESS PHYSICIANS, LLC 2019 464477281 2020-07-31 SKIN WELLNESS PHYSICIANS, LLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-08-01
Business code 621111
Sponsor’s telephone number 2679738128
Plan sponsor’s address 8625 COLLIER BLVD, NAPLES, FL, 34114

Signature of
Role Plan administrator
Date 2020-07-31
Name of individual signing JULIE WASSERMAN
Valid signature Filed with authorized/valid electronic signature
SKIN WELLNESS PHYSICIANS, LLC 2018 464477281 2019-07-12 SKIN WELLNESS PHYSICIANS, LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-08-01
Business code 621111
Sponsor’s telephone number 2679738128
Plan sponsor’s address 8625 COLLIER BLVD, NAPLES, FL, 34114

Signature of
Role Plan administrator
Date 2019-07-12
Name of individual signing JULIE WASSERMAN
Valid signature Filed with authorized/valid electronic signature
SKIN WELLNESS PHYSICIANS, LLC 2017 464477281 2018-07-02 SKIN WELLNESS PHYSICIANS, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-08-01
Business code 621111
Sponsor’s telephone number 2679738128
Plan sponsor’s address 8625 COLLIER BLVD, NAPLES, FL, 34114

Signature of
Role Plan administrator
Date 2018-07-02
Name of individual signing JULIE WASSERMAN
Valid signature Filed with authorized/valid electronic signature
SKIN WELLNESS PHYSICIANS, LLC 2016 464477281 2017-07-28 SKIN WELLNESS PHYSICIANS, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-08-01
Business code 621111
Sponsor’s telephone number 2679738128
Plan sponsor’s address 8625 COLLIER BLVD, NAPLES, FL, 34114

Signature of
Role Plan administrator
Date 2017-07-28
Name of individual signing JULIE WASSERMAN
Valid signature Filed with authorized/valid electronic signature
SKIN WELLNESS PHYSICIANS, LLC 2015 464477281 2016-06-09 SKIN WELLNESS PHYSICIANS, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-08-01
Business code 621111
Sponsor’s telephone number 2679738128
Plan sponsor’s address 8625 COLLIER BLVD, NAPLES, FL, 34114

Signature of
Role Plan administrator
Date 2016-06-09
Name of individual signing JULIE WASSERMAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
WASSERMAN DANIEL I Agent 8625 COLLIER BLVD, NAPLES, FL, 34114

Manager

Name Role Address
WASSERMAN DANIEL I Manager 8625 COLLIER BLVD, NAPLES, FL, 34114

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2017-01-15 WASSERMAN, DANIEL I No data
REINSTATEMENT 2017-01-15 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 No data No data
LC AMENDMENT 2015-03-24 No data No data
REGISTERED AGENT ADDRESS CHANGED 2014-06-30 8625 COLLIER BLVD, NAPLES, FL 34114 No data
CHANGE OF PRINCIPAL ADDRESS 2014-06-30 8625 COLLIER BLVD, NAPLES, FL 34114 No data
CHANGE OF MAILING ADDRESS 2014-06-30 8625 COLLIER BLVD, NAPLES, FL 34114 No data
LC AMENDMENT 2014-06-30 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-27
ANNUAL REPORT 2023-04-26
ANNUAL REPORT 2022-04-27
ANNUAL REPORT 2021-04-03
ANNUAL REPORT 2020-01-25
ANNUAL REPORT 2019-04-21
ANNUAL REPORT 2018-02-12
REINSTATEMENT 2017-01-15
LC Amendment 2015-03-24
ANNUAL REPORT 2015-01-08

Related by officers

WASSERMAN DANIEL I

BAVEL18 LLC IVY PROFESSIONAL LLC

Related by address

8625 COLLIER BLVD, NAPLES, FL, 34114

BAVEL18 LLC

8625 COLLIER BLVD, NAPLES, FL, 34114

BAVEL18 LLC

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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