| Entity Name: | PRECISION DERMATOLOGY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 12 May 2020 (5 years ago) |
| Document Number: | L20000128533 |
| FEI/EIN Number | 85-1158943 |
| Address: | 3319 South STATE ROAD 7, WELLINGTON, FL, 33449, US |
| Mail Address: | 3319 South STATE ROAD 7, WELLINGTON, FL, 33449, US |
| ZIP code: | 33449 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538782503 | 2020-05-25 | 2020-05-25 | 652 FERN ST, WEST PALM BEACH, FL, 334015712, US | 3319 S STATE ROAD 7 STE 105, WELLINGTON, FL, 334498099, US | |||||||||||||||
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| Phone | +1 917-593-6121 |
| Phone | +1 561-557-3115 |
Authorized person
| Name | KATHERINE CHIANG |
| Role | PHYSICIAN |
| Phone | 9175936121 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CHIANG KATHERINE | Agent | 3319 South STATE ROAD 7, WELLINGTON, FL, 33449 |
| Name | Role | Address |
|---|---|---|
| CHIANG KATHERINE | Authorized Member | 3319 SOUTH STATE ROAD 7, WELLINGTON, FL, 33449 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-12-23 | 3319 South STATE ROAD 7, SuiTE 105, WELLINGTON, FL 33449 | No data |
| CHANGE OF MAILING ADDRESS | 2020-12-23 | 3319 South STATE ROAD 7, SuiTE 105, WELLINGTON, FL 33449 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-20 |
| ANNUAL REPORT | 2023-02-07 |
| AMENDED ANNUAL REPORT | 2022-04-13 |
| ANNUAL REPORT | 2022-02-01 |
| ANNUAL REPORT | 2021-04-13 |
| Florida Limited Liability | 2020-05-12 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
