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DAZZLING DERMATOLOGY, PLLC - Florida Company Profile

Company Details

Entity Name: DAZZLING DERMATOLOGY, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

DAZZLING DERMATOLOGY, 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.
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: 05 Mar 2019 (6 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 10 Jul 2019 (6 years ago)
Document Number: L19000063376
FEI/EIN Number 84-2092077

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

Address: 22029 State Rd 7, Boca Raton, FL, 33428, US
Mail Address: 22029 State Rd 7, Boca Raton, FL, 33428, US
ZIP code: 33428
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1336752120 2020-08-31 2020-08-31 22029 STATE ROAD 7 STE 1, BOCA RATON, FL, 334284200, US 22029 STATE ROAD 7 STE 1, BOCA RATON, FL, 334284200, US

Contacts

Phone +1 561-923-0905

Authorized person

Name DR. ERIC W RUDNICK
Role OWNER/DERMATOLOGIST
Phone 5619230905

Taxonomy

Taxonomy Code 207N00000X - Dermatology Physician
Is Primary Yes
Taxonomy Code 207ND0900X - Dermatopathology Physician
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DAZZLING DERMATOLOGY RETIREMENT PLAN 2023 842092077 2024-09-02 DAZZLING DERMATOLOGY PLLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-09-01
Business code 621111
Sponsor’s telephone number 5617159658
Plan sponsor’s address 22029 STATE RD 7 STE 101, BOCA RATON, FL, 33428

Signature of

Role Plan administrator
Date 2024-09-02
Name of individual signing SHIRLEY HORNER
Valid signature Filed with authorized/valid electronic signature
DAZZLING DERMATOLOGY RETIREMENT PLAN 2022 842092077 2023-09-12 DAZZLING DERMATOLOGY PLLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-09-01
Business code 621111
Sponsor’s telephone number 5617159658
Plan sponsor’s address 22029 STATE RD 7 STE 101, BOCA RATON, FL, 33428

Signature of

Role Plan administrator
Date 2023-09-12
Name of individual signing NICK RICE
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
RUDNICK ERIC W Managing Member 22029 State Rd 7, Boca Raton, FL, 33428
RUDNICK ERIC W Agent 22029 State Rd 7, Boca Raton, FL, 33428
Rudnick Danielle A Manager 22029 State Rd 7, Boca Raton, FL, 33428

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-01-08 22029 State Rd 7, Ste 101, Boca Raton, FL 33428 -
CHANGE OF MAILING ADDRESS 2021-01-08 22029 State Rd 7, Ste 101, Boca Raton, FL 33428 -
REGISTERED AGENT ADDRESS CHANGED 2021-01-08 22029 State Rd 7, Ste 101, Boca Raton, FL 33428 -
LC AMENDMENT 2019-07-10 - -

Documents

Name Date
ANNUAL REPORT 2025-01-21
ANNUAL REPORT 2024-01-19
ANNUAL REPORT 2023-01-23
ANNUAL REPORT 2022-01-12
ANNUAL REPORT 2021-01-08
ANNUAL REPORT 2020-01-25
LC Amendment 2019-07-10
Florida Limited Liability 2019-03-05

Date of last update: 02 May 2025

Sources: Florida Department of State