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PARKS DERMATOLOGY CENTER, LLC

PARKS DERMATOLOGY CENTER, LLC - Florida Company Profile

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Company Details

Entity Name:	PARKS DERMATOLOGY CENTER, LLC
Jurisdiction:	FLORIDA
Filing Type:	Florida Limited Liability Co.
Status:	Active
Date Filed:	12 Feb 2019 (7 years ago)
Last Event:	CORPORATE MERGER
Event Date Filed:	13 Feb 2019 (7 years ago)
Document Number:	L19000035918
FEI/EIN Number	59-3449961
Address:	400 LAKEBRIDGE PLAZA DR, ORMOND BEACH, FL, 32174, US
Mail Address:	400 LAKEBRIDGE PLAZA DR, ORMOND BEACH, FL, 32174, US
ZIP code:	32174
City:	Ormond Beach
County:	Volusia
Place of Formation:	FLORIDA

Key Officers & Management

Name	Role	Address
PARKS JEFFREY DMD	Manager	400 LAKEBRIDGE PLAZA DR, ORMOND BEACH, FL, 32174
COPPOLA JOHN DO	Manager	400 LAKEBRIDGE PLAZA DR, ORMOND BEACH, FL, 32174
SUAH MICHAEL MD	Manager	400 LAKEBRIDGE PLAZA DR, ORMOND BEACH, FL, 32174
FOLEY MICHELLE MD	Manager	400 LAKEBRIDGE PLAZA DR, ORMOND BEACH, FL, 32174
-	Agent	-

National Provider Identifier

NPI Number:

1629063680

Link:

View on NPI website

Authorized Person:

Name:

DR. JEFFREY DEAN PARKS

Role:

PRESIDENT

Phone:

3866779044

Taxonomy:

Selected Taxonomy:

207N00000X - Dermatology Physician

Is Primary:

Yes

Contacts:

Phone:

+1 386-677-9044

Fax:

3866773083

Form 5500 Series

Employer Identification Number (EIN):

593449961

Plan Year:

2024

Number Of Participants:

60

Sponsors Telephone Number:

3866779044

File:

Plan Year:

2024

Number Of Participants:

100

Sponsors Telephone Number:

3866779044

File:

Plan Year:

2023

Number Of Participants:

76

Sponsors Telephone Number:

3866779044

File:

Plan Year:

2023

Number Of Participants:

88

Sponsors Telephone Number:

3866779044

File:

Plan Year:

2022

Number Of Participants:

62

Sponsors Telephone Number:

3866779044

File:

Fictitious Names

Registration Number	Fictitious Name	Status	Filed Date	Expiration Date	Cancellation Date	Mailing Address
G15000091354	PARKS DERMATOLOGY	ACTIVE	2015-09-04	2025-12-31	-	400 LAKEBRIDGE PLAZA DRIVE, ORMOND BEACH, FL, 32174
G15000091355	PARKS DERMATOLOGY CENTER	ACTIVE	2015-09-04	2025-12-31	-	400 LAKEBRIDGE PLAZA DRIVE, ORMOND BEACH, FL, 32174

Events

Event Type	Filed Date	Value	Description
REGISTERED AGENT NAME CHANGED	2021-04-09	DAYTONA REGISTERED AGENTS	-
REGISTERED AGENT ADDRESS CHANGED	2021-04-09	444 SEABREEZE BOULEVARD, SUITE 890, DAYTONA BEACH, FL 32120	-
MERGER	2019-02-13	-	CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 300000190293

Documents

Name	Date
ANNUAL REPORT	2024-04-19
ANNUAL REPORT	2023-04-19
ANNUAL REPORT	2022-04-20
ANNUAL REPORT	2021-04-09
ANNUAL REPORT	2020-03-13
Merger	2019-02-13
Florida Limited Liability	2019-02-12

USAspending Awards / Financial Assistance

Date:

2020-04-07

Link:

View on USAspending

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:

705200.00

Total Face Value Of Loan:

705200.00

Paycheck Protection Program

Jobs Reported:

64

Initial Approval Amount:

$705,200

Date Approved:

2020-04-07

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$705,200

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$711,537.14

Servicing Lender:

Seacoast National Bank

Use of Proceeds:

Payroll: $705,200

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Date of last update: 03 Aug 2025

Sources: Florida Department of State