| Entity Name: | CONDE DERMATOLOGY GROUP, PLLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
CONDE DERMATOLOGY GROUP, PLLC. 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. |
| 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: | 09 Feb 2017 (8 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 25 Jul 2017 (8 years ago) |
| Document Number: | L17000032643 |
| FEI/EIN Number |
81-5381524
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 5627 Skytop Drive, LITHIA, FL, 33547, US |
| Mail Address: | 5627 Skytop Drive, LITHIA, FL, 33547, US |
| ZIP code: | 33547 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588195721 | 2017-03-21 | 2024-03-18 | 5627 SKYTOP DR, LITHIA, FL, 335474165, US | 5607 SKYTOP DRIVE, LITHIA, FL, 33547, US | |||||||||||||||||
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| Phone | +1 813-530-6511 |
Authorized person
| Name | DR. JENNIFER MOSCOSO CONDE |
| Role | CEO |
| Phone | 8135306511 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | OS12902 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CONDE DERMATOLOGY 401(K) PLAN | 2023 | 815381524 | 2024-05-24 | CONDE DERMATOLOGY GROUP, PLLC | 8 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2024-05-24 |
| Name of individual signing | QIAN LIU |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| MOSCOSO CONDE JENNIFER | Manager | 5627 SKYTOP DRIVE, LITHIA, FL, 33547 |
| Conde Jennifer MDr. | Agent | 5627 Skytop Drive, LITHIA, FL, 33547 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000035819 | CONDE DERMATOLOGY | ACTIVE | 2024-03-10 | 2029-12-31 | - | 5627 SKYTOP DRIVE, LITHIA, FL, 33547 |
| G21000039595 | COMPREHENSIVE CENTER FOR DERMATOLOGY | ACTIVE | 2021-03-23 | 2026-12-31 | - | 5607 SKYTOP DR, LITHIA, FL, 33547 |
| G20000071780 | COMPHREHENSIVE CENTER FOR DERMATOLOGY | ACTIVE | 2020-06-25 | 2025-12-31 | - | 5607 SKYTOP DR, LITHIA, FL, 33547 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-04-11 | Conde, Jennifer M, Dr. | - |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-11 | 5627 Skytop Drive, LITHIA, FL 33547 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-14 | 5627 Skytop Drive, LITHIA, FL 33547 | - |
| CHANGE OF MAILING ADDRESS | 2018-01-09 | 5627 Skytop Drive, LITHIA, FL 33547 | - |
| LC AMENDMENT | 2017-07-25 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-11 |
| ANNUAL REPORT | 2023-04-14 |
| ANNUAL REPORT | 2022-04-07 |
| ANNUAL REPORT | 2021-02-15 |
| ANNUAL REPORT | 2020-06-15 |
| ANNUAL REPORT | 2019-03-13 |
| ANNUAL REPORT | 2018-01-09 |
| LC Amendment | 2017-07-25 |
| Florida Limited Liability | 2017-02-09 |
Date of last update: 02 May 2025
Sources: Florida Department of State
