Entity Name: | PROFESSIONAL DERMATOLOGY ASSOCIATES, PLLC |
Jurisdiction: | FLORIDA |
Filing Type: |
Florida Limited Liability Co.
PROFESSIONAL DERMATOLOGY ASSOCIATES, 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. |
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: | 26 Sep 2023 (2 years ago) |
Document Number: | L23000445437 |
FEI/EIN Number |
93-3681815
Federal Employer Identification (FEI) Number assigned by the IRS. |
Address: | 217 E CENTRAL AVE, WINTER HAVEN, FL, 33881, US |
Mail Address: | 4336 DUCK DOWN LANE, WINTER HAVEN, FL, 33884, US |
ZIP code: | 33881 |
County: | Polk |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1932978988 | 2024-01-01 | 2024-01-01 | 4336 DUCK DOWN LN, WINTER HAVEN, FL, 338843293, US | 217 E CENTRAL AVE, WINTER HAVEN, FL, 338806312, US | |||||||||||||||
|
Phone | +1 940-867-6030 |
Phone | +1 315-363-7407 |
Authorized person
Name | DR. RAYMOND R KNISLEY |
Role | OWNER |
Phone | 9408676030 |
Taxonomy
Taxonomy Code | 207N00000X - Dermatology Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
KNISLEY RAYMOND R | Manager | 4336 DUCK DOWN LANE, WINTER HAVEN, FL, 33884 |
KNISLEY RAYMOND R | Agent | 4336 DUCK DOWN LN, WINTER HAVEN, FL, 33884 |
Name | Date |
---|---|
ANNUAL REPORT | 2024-03-06 |
Florida Limited Liability | 2023-09-26 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State