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INTEGRATED DERMATOLOGY OF CORAL GABLES, LLC

Company Details

Entity Name: INTEGRATED DERMATOLOGY OF CORAL GABLES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 08 Apr 2015 (10 years ago)
Date of dissolution: 24 Sep 2021 (3 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 24 Sep 2021 (3 years ago)
Document Number: L15000061567
FEI/EIN Number 38-3969389
Address: 4700 Exchange Ct., SUITE 110, BOCA RATON, FL 33431
Mail Address: 4700 Exchange Ct., SUITE 110, BOCA RATON, FL 33431
ZIP code: 33431
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1285012146 2015-05-12 2017-04-03 902 CLINT MOORE RD, SUITE 226, BOCA RATON, FL, 334872800, US 475 BILTMORE WAY, SUITE 308, CORAL GABLES, FL, 33134, US

Contacts

Phone +1 561-314-2000
Fax 5614312821
Phone +1 305-443-2994
Fax 3052713206

Authorized person

Name ADAM S. PLOTKIN
Role AUTHORIZED OFFICIAL
Phone 5613142000

Taxonomy

Taxonomy Code 207N00000X - Dermatology Physician
Is Primary Yes

Agent

Name Role
DERM HOLDINGS LLC Agent

Manager

Name Role Address
PLOTKIN, ADAM S Manager 4700 Exchange Ct., SUITE 110 BOCA RATON, FL 33487
WAIBEL, JILL S Manager 7800 SW 87TH AVE, SUITE B200 MIAMI, FL 33173

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 No data No data
CHANGE OF PRINCIPAL ADDRESS 2018-02-06 4700 Exchange Ct., SUITE 110, BOCA RATON, FL 33431 No data
CHANGE OF MAILING ADDRESS 2018-02-06 4700 Exchange Ct., SUITE 110, BOCA RATON, FL 33431 No data
REGISTERED AGENT ADDRESS CHANGED 2018-02-06 4700 Exchange Ct., SUITE 110, BOCA RATON, FL 33431 No data
LC NAME CHANGE 2016-07-05 INTEGRATED DERMATOLOGY OF CORAL GABLES, LLC No data
LC AMENDMENT 2015-12-07 No data No data

Documents

Name Date
ANNUAL REPORT 2020-01-28
ANNUAL REPORT 2019-02-14
ANNUAL REPORT 2018-02-06
ANNUAL REPORT 2017-03-30
LC Name Change 2016-07-05
ANNUAL REPORT 2016-03-14
LC Amendment 2015-12-07
Florida Limited Liability 2015-04-08

Date of last update: 21 Jan 2025

Sources: Florida Department of State