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CORAL REEF DERMATOLOGY, LLC - Florida Company Profile

Company Details

Entity Name: CORAL REEF DERMATOLOGY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

CORAL REEF DERMATOLOGY, LLC 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: 16 Aug 2021 (4 years ago)
Document Number: L21000365782
FEI/EIN Number 87-2386615

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

Address: 160 NW Central Park Plaza, PORT SAINT LUCIE, FL, 34986, US
Mail Address: 160 NW Central Park Plaza, PORT SAINT LUCIE, FL, 34986, US
ZIP code: 34986
County: St. Lucie
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1487300521 2022-02-28 2022-02-28 160 NW CENTRAL PARK PLAZA SUITE 103, PORT ST LUCIE, FL, 34986, US 160 NW CENTRAL PARK PLAZA, SUITE 103, PORT ST LUCIE, FL, 34986, US

Contacts

Phone +1 772-882-5612

Authorized person

Name CHARLENE MOORE
Role OWNER/MANAGER
Phone 7728825612

Taxonomy

Taxonomy Code 207N00000X - Dermatology Physician
Is Primary Yes

Key Officers & Management

Name Role Address
MOORE STEVEN D Agent 1714 SW MOCKINGBIRD DR, PORT SAINT LUCIE, FL, 34986
MOORE CHARLENE K Manager 1714 SW MOCKINGBIRD DR, PORT SAINT LUCIE, FL, 34986

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-02-28 160 NW Central Park Plaza, Suite 103, PORT SAINT LUCIE, FL 34986 -
CHANGE OF MAILING ADDRESS 2022-02-28 160 NW Central Park Plaza, Suite 103, PORT SAINT LUCIE, FL 34986 -

Documents

Name Date
ANNUAL REPORT 2024-02-23
ANNUAL REPORT 2023-03-03
ANNUAL REPORT 2022-02-28
Florida Limited Liability 2021-08-16

Date of last update: 01 Apr 2025

Sources: Florida Department of State