| Entity Name: | FORT LAUDERDALE DERMATOLOGY, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 07 Aug 2018 (7 years ago) |
| Last Event: | LC AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 10 Jan 2019 (6 years ago) |
| Document Number: | L18000188756 |
| FEI/EIN Number | 831110054 |
| Address: | 2021 E COMMERCIAL BLVD SUITE 301, FORT LAUDERDALE, FL, 33308, US |
| Mail Address: | 2021 E COMMERCIAL BLVD SUITE 301, FORT LAUDERDALE, FL, 33308, US |
| ZIP code: | 33308 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720543135 | 2019-02-10 | 2019-02-10 | 2021 E COMMERCIAL BLVD STE 301, FORT LAUDERDALE, FL, 333083754, US | 2021 E COMMERCIAL BLVD STE 301, FORT LAUDERDALE, FL, 333083754, US | |||||||||||||||
|
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| Phone | +1 954-546-3376 |
| Fax | 8198093748 |
Authorized person
| Name | ERIC WILKERSON |
| Role | OWNER |
| Phone | 9545463376 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WILKERSON ERIC CMD | Agent | 2021 E COMMERCIAL BLVD SUITE 301, FORT LAUDERDALE, FL, 33308 |
| Name | Role | Address |
|---|---|---|
| WILKERSON ERIC CMD | Manager | 2021 E COMMERCIAL BLVD SUITE 301, FORT LAUDERDALE, FL, 33308 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT AND NAME CHANGE | 2019-01-10 | FORT LAUDERDALE DERMATOLOGY, PLLC | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-01-10 | 2021 E COMMERCIAL BLVD SUITE 301, FORT LAUDERDALE, FL 33308 | No data |
| CHANGE OF MAILING ADDRESS | 2019-01-10 | 2021 E COMMERCIAL BLVD SUITE 301, FORT LAUDERDALE, FL 33308 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-01-10 | 2021 E COMMERCIAL BLVD SUITE 301, FORT LAUDERDALE, FL 33308 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-15 |
| ANNUAL REPORT | 2023-02-18 |
| ANNUAL REPORT | 2022-02-21 |
| ANNUAL REPORT | 2021-03-15 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-02-07 |
| LC Amendment and Name Change | 2019-01-10 |
| Florida Limited Liability | 2018-08-07 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
