| Entity Name: | PREMIER DERMATOLOGY OF FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 28 Nov 2017 (7 years ago) |
| Last Event: | LC STMNT CORR |
| Event Date Filed: | 01 Dec 2017 (7 years ago) |
| Document Number: | L17000244182 |
| FEI/EIN Number | 82-3528349 |
| Address: | 109 Whitehall Drive, St. Augustine, FL, 32086, US |
| Mail Address: | 109 Whitehall Drive, St. Augustine, FL, 32086, US |
| ZIP code: | 32086 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952800112 | 2018-02-02 | 2024-01-30 | 109 WHITEHALL DR UNIT 117, ST AUGUSTINE, FL, 320865266, US | 109 WHITEHALL DR UNIT 117, ST AUGUSTINE, FL, 320865266, US | |||||||||||||||
|
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| Phone | +1 904-460-2388 |
| Fax | 9044602689 |
Authorized person
| Name | DR. JOANNA LEE MCGETRICK |
| Role | OWNER |
| Phone | 8632580601 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| FISHER, TOUSEY, LEAS & BALL, P.A. | Agent |
| Name | Role | Address |
|---|---|---|
| MCGETRICK JOANNA | Manager | 109 Whitehall Drive, St. Augustine, FL, 32086 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-02-12 | 109 Whitehall Drive, Unit 117, St. Augustine, FL 32086 | No data |
| CHANGE OF MAILING ADDRESS | 2022-02-12 | 109 Whitehall Drive, Unit 117, St. Augustine, FL 32086 | No data |
| LC STMNT CORR | 2017-12-01 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-06 |
| ANNUAL REPORT | 2023-02-10 |
| ANNUAL REPORT | 2022-02-12 |
| ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2020-03-19 |
| ANNUAL REPORT | 2019-03-15 |
| CORLCSTCOR | 2017-12-01 |
| Florida Limited Liability | 2017-11-28 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
