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NORTH FLORIDA DERMATOLOGY, LLC - Florida Company Profile

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Company Details

Entity Name: NORTH FLORIDA DERMATOLOGY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

NORTH FLORIDA DERMATOLOGY, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 08 Mar 2016 (9 years ago)
Document Number: L16000048124
FEI/EIN Number 81-1690095

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 1722 SW NEWLAND WAY, LAKE CITY, FL, 32025, US
Mail Address: 1722 SW NEWLAND WAY, LAKE CITY, FL, 32025, US
ZIP code: 32025
County: Columbia
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
TEPEDINO KELLY DMD Manager 1722 SW NEWLAND WAY, LAKE CITY, FL, 32025
CORTES JOSE HJR Agent 4 SE BROADWAY STREET, OCALA, FL, 34471

National Provider Identifier

NPI Number:
1689023830
Certification Date:
2024-03-07

Authorized Person:

Name:
KELLY TEPEDINO
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
Yes

Contacts:

Fax:
3863446103

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-04-27 1722 SW NEWLAND WAY, LAKE CITY, FL 32025 -
CHANGE OF MAILING ADDRESS 2022-04-27 1722 SW NEWLAND WAY, LAKE CITY, FL 32025 -

Documents

Name Date
ANNUAL REPORT 2024-01-16
ANNUAL REPORT 2023-01-25
ANNUAL REPORT 2022-04-27
ANNUAL REPORT 2021-05-02
ANNUAL REPORT 2020-01-21
ANNUAL REPORT 2019-03-11
ANNUAL REPORT 2018-03-29
ANNUAL REPORT 2017-04-28
Florida Limited Liability 2016-03-08

USAspending Awards / Financial Assistance

Date:
2020-04-29
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
6000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-09
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
42968.00
Total Face Value Of Loan:
42968.00

Paycheck Protection Program

Date Approved:
2020-04-09
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
42968
Current Approval Amount:
42968
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Non-Veteran
Forgiveness Amount:
43345.16

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Date of last update: 02 Jun 2025

Sources: Florida Department of State