| Entity Name: | LEGENDS DERMATOLOGY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 21 Apr 2014 (11 years ago) |
| Document Number: | L14000064179 |
| FEI/EIN Number | 47-1333202 |
| Address: | 1497 LEGENDS BLVD, CHAMPIONS GATE, FL 33896 |
| Mail Address: | 1497 LEGENDS BLVD, CHAMPIONS GATE, FL 33896 |
| ZIP code: | 33896 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780081869 | 2014-12-04 | 2019-09-26 | 1497 LEGENDS BOULEVARD, DAVENPORT, FL, 33896, US | 1497 LEGENDS BOULEVARD, DAVENPORT, FL, 33896, US | |||||||||||||||
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| Phone | +1 863-738-5487 |
| Fax | 8636197094 |
Authorized person
| Name | IULIA FUNIERU |
| Role | SOLE OWNER |
| Phone | 8637385487 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Espino Huerta, Andres | Agent | 714 Hanover Ct., LAKELAND, FL 33813 |
| Name | Role | Address |
|---|---|---|
| FUNIERU, IULIA, DR. | Manager | 714 HANOVER COURT, LAKELAND, FL 33813 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2016-03-09 | Espino Huerta, Andres | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-03-09 | 714 Hanover Ct., LAKELAND, FL 33813 | No data |
| CHANGE OF MAILING ADDRESS | 2015-02-04 | 1497 LEGENDS BLVD, CHAMPIONS GATE, FL 33896 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-12-23 | 1497 LEGENDS BLVD, CHAMPIONS GATE, FL 33896 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-14 |
| ANNUAL REPORT | 2024-01-18 |
| ANNUAL REPORT | 2023-01-11 |
| ANNUAL REPORT | 2022-01-13 |
| ANNUAL REPORT | 2021-01-08 |
| ANNUAL REPORT | 2020-01-22 |
| ANNUAL REPORT | 2019-01-31 |
| ANNUAL REPORT | 2018-01-19 |
| ANNUAL REPORT | 2017-01-15 |
| ANNUAL REPORT | 2016-03-09 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 7667617305 | 2020-04-30 | 0455 | PPP | 1497 LEGENDS BLVD, CHAMPIONS GATE, FL, 33896-8393 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 21 Feb 2025
Sources: Florida Department of State
