| Entity Name: | BOUTIQUE DERMATOLOGY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
BOUTIQUE 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. |
| 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: | 08 Aug 2023 (2 years ago) |
| Document Number: | L23000371348 |
| FEI/EIN Number |
93-2802846
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1400 S. ORLANDO AVENUE, WINTER PARK, FL, 32789, US |
| Mail Address: | 1400 S. ORLANDO AVENUE, WINTER PARK, FL, 32789, US |
| ZIP code: | 32789 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336971449 | 2024-08-16 | 2024-08-16 | 1400 S ORLANDO AVE STE 101, WINTER PARK, FL, 327895543, US | 1400 S ORLANDO AVE STE 101, WINTER PARK, FL, 327895543, US | |||||||||||||
|
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| Phone | +1 407-305-9195 |
Authorized person
| Name | SHELLEY FOX |
| Role | AUTHORIZED OFFICIAL |
| Phone | 3214399505 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FOX SHELLEY H | Managing Member | 1400 S. ORLANDO AVENUE, WINTER PARK, FL, 32789 |
| Fox Shelley | Agent | 201 N LAKEMONT AVE, WINTER PARK, FL, 32792 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-08-07 | 1400 S. ORLANDO AVENUE, WINTER PARK, FL 32789 | - |
| CHANGE OF MAILING ADDRESS | 2024-08-07 | 1400 S. ORLANDO AVENUE, WINTER PARK, FL 32789 | - |
| REGISTERED AGENT NAME CHANGED | 2024-05-21 | Fox, Shelley | - |
| REGISTERED AGENT ADDRESS CHANGED | 2024-05-21 | 201 N LAKEMONT AVE, STE 2300, WINTER PARK, FL 32792 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-21 |
| Florida Limited Liability | 2023-08-08 |
Date of last update: 02 Mar 2025
Sources: Florida Department of State
