| Entity Name: | SKIN LOCAL DERMATOLOGY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 04 Jan 2024 (a year ago) |
| Document Number: | L24000003232 |
| Address: | 9410 SW 77TH AVE, MIAMI, FL 33156 |
| Mail Address: | 9410 SW 77TH AVE, MIAMI, FL 33156 |
| ZIP code: | 33156 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598519332 | 2024-04-17 | 2024-04-17 | 13615 S DIXIE HWY STE 116, PALMETTO BAY, FL, 331767254, US | 13615 S DIXIE HWY STE 116, PALMETTO BAY, FL, 331767254, US | |||||||||||||||
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| Phone | +1 786-701-8106 |
| Fax | 8448472493 |
Authorized person
| Name | JENNIFER MARTINEZ |
| Role | OWNER |
| Phone | 7867018106 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| ARAGON REGISTERED AGENTS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| MARTINEZ, JENNIFER | Manager | 9410 SW 77TH AVE, MIAMI, FL 33156 |
| MCLEAN, GINA | Manager | 9410 SW 77TH AVE, MIAMI, FL 33156 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-01-04 |
Date of last update: 08 Jan 2025
Sources: Florida Department of State
