| Entity Name: | INTEGRATED DERMATOLOGY OF FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Company |
| Status: | Active |
| Date Filed: | 19 Aug 2019 (6 years ago) |
| Document Number: | M19000008139 |
| FEI/EIN Number | 84-2768556 |
| Address: | 4700 EXCHANGE COURT, STE 110, BOCA RATON, FL 33431 |
| Mail Address: | 4700 EXCHANGE COURT, STE 110, BOCA RATON, FL 33431 |
| ZIP code: | 33431 |
| County: | Palm Beach |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801434675 | 2019-12-12 | 2019-12-12 | 4700 EXCHANGE CT STE 110, BOCA RATON, FL, 334314450, US | 4601 N FEDERAL HWY, BOCA RATON, FL, 334315133, US | |||||||||||||||||
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| Phone | +1 561-314-2000 |
| Fax | 5614312821 |
| Phone | +1 561-362-8000 |
Authorized person
| Name | ADAM S PLOTKIN |
| Role | AUTHORIZED GROUP OFFICIAL |
| Phone | 5613142000 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CORPORATE CREATIONS NETWORK INC. | Agent |
| Name | Role |
|---|---|
| INTEGRATED DERMATOLOGY MANAGEMENT, LLC | Manager |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000015317 | DERMATOLOGY OF BOCA | ACTIVE | 2020-02-04 | 2025-12-31 | No data | 4700 EXCHANGE COURT, STE 110, BOCA RATON, FL, 33431 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-23 | 4700 EXCHANGE COURT, STE 110, BOCA RATON, FL 33431 | No data |
| CHANGE OF MAILING ADDRESS | 2023-03-23 | 4700 EXCHANGE COURT, STE 110, BOCA RATON, FL 33431 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-03-23 | CORPORATE CREATIONS NETWORK, INC. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-03-25 | 801 US HIGHWAY 1, NORTH PALM BEACH, FL 33408 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-11 |
| ANNUAL REPORT | 2023-03-23 |
| ANNUAL REPORT | 2022-02-08 |
| ANNUAL REPORT | 2021-01-12 |
| ANNUAL REPORT | 2020-01-21 |
| Foreign Limited | 2019-08-19 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 3763338705 | 2021-03-31 | 0455 | PPS | 4601 N Federal Hwy, Boca Raton, FL, 33431-5133 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6115377302 | 2020-04-30 | 0455 | PPP | 4601 N Federal Hwy, Boca Raton, FL, 33431 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 16 Feb 2025
Sources: Florida Department of State
