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PROFESSIONAL DERMATOLOGY ASSOCIATES, PLLC - Florida Company Profile

Company Details

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.
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: 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

National Provider Identifier

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

Contacts

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

Key Officers & Management

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

Documents

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