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WATERSIDE DERMATOLOGY, PLLC - Florida Company Profile

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Company Details

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

WATERSIDE 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: 18 Apr 2023 (2 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 11 Jul 2023 (2 years ago)
Document Number: L23000193634
FEI/EIN Number 923850966

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

Address: 300 Riverside Dr E #2200, Bradenton, FL, 34208, US
Mail Address: 300 Riverside Dr E #2200, Bradenton, FL, 34208, US
ZIP code: 34208
County: Manatee
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
AUNG-DIN DAVID Manager 700 S HARBOUR ISLAND BLVD #731, TAMPA, FL, 33602
EKHLASSI ERFON Manager 700 S HARBOUR ISLAND BLVD #731, TAMPA, FL, 33602
EKHLASSI ERFON Agent 700 S HARBOUR ISLAND BOULEVARD,, TAMPA, FL, 33602

National Provider Identifier

NPI Number:
1639856297
Certification Date:
2025-03-05

Authorized Person:

Name:
ERFON EKHLASSI
Role:
OWNER AND PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
207ND0101X - MOHS-Micrographic Surgery Physician
Is Primary:
No
Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
Yes

Contacts:

Fax:
9417487562

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2025-01-21 EKHLASSI, ERFON -
CHANGE OF PRINCIPAL ADDRESS 2024-01-23 300 Riverside Dr E #2200, Bradenton, FL 34208 -
CHANGE OF MAILING ADDRESS 2024-01-23 300 Riverside Dr E #2200, Bradenton, FL 34208 -
LC AMENDMENT 2023-07-11 - -

Documents

Name Date
ANNUAL REPORT 2025-01-21
ANNUAL REPORT 2024-01-23
LC Amendment 2023-07-11
Florida Limited Liability 2023-04-18

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Date of last update: 02 Jun 2025

Sources: Florida Department of State