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  5. ELIAS DERMATOLOGY, LLC

ELIAS DERMATOLOGY, LLC

Company Details

Entity Name: ELIAS DERMATOLOGY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 08 Dec 2014 (10 years ago)
Document Number: L14000187632
FEI/EIN Number 47-2532461
Address: 3100 East Commerical Blvd, FT. LAUDERDALE, FL 33308
Mail Address: 3100 East Commerical Blvd, FT. LAUDERDALE, FL 33308
ZIP code: 33308
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1487042636 2014-12-22 2021-04-30 4610 N FEDERAL HWY, FORT LAUDERDALE, FL, 333085206, US 4610 N FEDERAL HWY, FORT LAUDERDALE, FL, 333085206, US

Contacts
Phone +1 415-802-1310
Fax 9547710582
Phone +1 954-771-0582

Authorized person
Name DR. MATTHEW J ELIAS
Role MANAGER MEMBER
Phone 4158021310

Taxonomy
Taxonomy Code 207N00000X - Dermatology Physician
License Number OS9756
State FL
Is Primary Yes
Taxonomy Code 207ND0101X - MOHS-Micrographic Surgery Physician
License Number OS9756
State FL
Is Primary No
Taxonomy Code 207ND0900X - Dermatopathology Physician
License Number OS9756
State FL
Is Primary No
Taxonomy Code 207NI0002X - Clinical & Laboratory Dermatological Immunology Physician
License Number OS9756
State FL
Is Primary No
Taxonomy Code 207NP0225X - Pediatric Dermatology Physician
License Number OS9756
State FL
Is Primary No
Taxonomy Code 207NS0135X - Procedural Dermatology Physician
License Number OS9756
State FL
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ELIAS DERMATOLOGY, LLC 401(K) PLAN 2023 472532461 2024-10-04 ELIAS DERMATOLOGY, LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621399
Sponsor’s telephone number 9547710582
Plan sponsor’s address 4610 N FEDERAL HWY, FT. LAUDERDALE, FL, 33308

Signature of
Role Plan administrator
Date 2024-10-04
Name of individual signing MICHAEL VANDERFORD
Valid signature Filed with authorized/valid electronic signature
ELIAS DERMATOLOGY, LLC 401(K) PLAN 2022 472532461 2023-10-03 ELIAS DERMATOLOGY, LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621399
Sponsor’s telephone number 9547710582
Plan sponsor’s address 4610 N FEDERAL HWY, FT. LAUDERDALE, FL, 33308

Signature of
Role Plan administrator
Date 2023-10-03
Name of individual signing MICHAEL VANDERFORD
Valid signature Filed with authorized/valid electronic signature
ELIAS DERMATOLOGY, LLC 401(K) PLAN 2021 472532461 2022-08-10 ELIAS DERMATOLOGY, LLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621399
Sponsor’s telephone number 9547710582
Plan sponsor’s address 4610 N FEDERAL HWY, FT. LAUDERDALE, FL, 33308

Signature of
Role Plan administrator
Date 2022-08-10
Name of individual signing MATTHEW ELIAS
Valid signature Filed with authorized/valid electronic signature
ELIAS DERMATOLOGY, LLC 401(K) PLAN 2020 472532461 2021-09-07 ELIAS DERMATOLOGY, LLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621399
Sponsor’s telephone number 9547710582
Plan sponsor’s address 4610 N FEDERAL HWY, FT. LAUDERDALE, FL, 33308

Signature of
Role Plan administrator
Date 2021-09-07
Name of individual signing MATTHEW ELIAS
Valid signature Filed with authorized/valid electronic signature
ELIAS DERMATOLOGY, LLC 401(K) PLAN 2019 472532461 2020-10-05 ELIAS DERMATOLOGY, LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621399
Sponsor’s telephone number 9547710582
Plan sponsor’s address 4610 N FEDERAL HWY, FT. LAUDERDALE, FL, 33308

Signature of
Role Plan administrator
Date 2020-10-05
Name of individual signing MATTHEW ELIAS
Valid signature Filed with authorized/valid electronic signature
ELIAS DERMATOLOGY, LLC 401(K) PLAN 2018 472532461 2019-08-15 ELIAS DERMATOLOGY, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621399
Sponsor’s telephone number 9547710582
Plan sponsor’s address 4610 N FEDERAL HWY, FT. LAUDERDALE, FL, 33308

Signature of
Role Plan administrator
Date 2019-08-15
Name of individual signing MATTHEW ELIAS
Valid signature Filed with authorized/valid electronic signature
ELIAS DERMATOLOGY, LLC 401(K) PLAN 2017 472532461 2018-07-13 ELIAS DERMATOLOGY, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621399
Sponsor’s telephone number 9547710582
Plan sponsor’s address 4610 N FEDERAL HWY, FT. LAUDERDALE, FL, 33308

Signature of
Role Plan administrator
Date 2018-07-13
Name of individual signing MATTHEW ELIAS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ELIAS, MATTHEW Agent 4610 NORTH FEDERAL HIGHWAY, FT. LAUDERDALE, FL 33308

Member

Name Role Address
ELIAS, MATTHEW Member 4610 NORTH FEDERAL HIGHWAY, FT. LAUDERDALE, FL 33308
ELIAS, MERRICK Member 4610 NORTH FEDERAL HIGHWAY, FT. LAUDERDALE, FL 33308

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-12-11 3100 East Commerical Blvd, FT. LAUDERDALE, FL 33308 No data
CHANGE OF MAILING ADDRESS 2024-12-11 3100 East Commerical Blvd, FT. LAUDERDALE, FL 33308 No data

Documents

Name Date
ANNUAL REPORT 2024-04-27
ANNUAL REPORT 2023-04-23
ANNUAL REPORT 2022-04-24
ANNUAL REPORT 2021-05-01
ANNUAL REPORT 2020-05-29
ANNUAL REPORT 2019-04-27
ANNUAL REPORT 2018-04-07
ANNUAL REPORT 2017-04-20
ANNUAL REPORT 2016-04-16
ANNUAL REPORT 2015-01-13

Related by officers

ELIAS, MATTHEW

NOVA RESIDENT DERMATOLOGY ASSOCIATION INC. MASTER POOL SOFTWARE, LLC MATTHEW ELIAS, D.O., P.A. ELIAS FAMILY SAVINGS, LLC ELIAS FAMILY HOLDINGS, LLC SOHO COMPUTER SERVICES, LLC. FAST LIVING APPAREL INC. ERA HEALING, LLC SWEET TWIST BAKERY LLC PAN AMERICAN INFORMATION SERVICES, LLC

Related by address

No related companies by address

Date of last update: 21 Jan 2025

Sources: Florida Department of State

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