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DERICK DERMATOLOGY LLC - Florida Company Profile

Branch

Company Details

Entity Name: DERICK DERMATOLOGY LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Co.
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: 27 Dec 2021 (3 years ago)
Branch of: DERICK DERMATOLOGY LLC, ILLINOIS (Company Number LLC_01784005)
Last Event: REINSTATEMENT
Event Date Filed: 11 Oct 2022 (3 years ago)
Document Number: M21000017579
FEI/EIN Number 204569672

Federal Employer Identification (FEI) Number assigned by the IRS.

Mail Address: 1600 N RANDALL ROAD, ELGIN, IL, 60123, US
Address: 1531 S GROVE AVENUE, BARRINGTON, IL, 60010, US
Place of Formation: ILLINOIS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1396455861 2022-11-25 2022-11-25 5201 W KENNEDY BLVD STE 950, TAMPA, FL, 336091823, US 5201 W KENNEDY BLVD STE 950, TAMPA, FL, 336091823, US

Contacts

Phone +1 847-381-8899

Authorized person

Name AMY JANE DERICK
Role OWNER & MEDICAL DIRECTOR
Phone 8473818899

Taxonomy

Taxonomy Code 207N00000X - Dermatology Physician
Is Primary Yes

Key Officers & Management

Name Role Address
DERICK AMY JM.D Manager 1531 S GROVE AVENUE, BARRINGTON, IL, 60010
C T CORPORATION SYSTEM Agent -

Events

Event Type Filed Date Value Description
REINSTATEMENT 2022-10-11 - -
CHANGE OF MAILING ADDRESS 2022-10-11 1531 S GROVE AVENUE, BARRINGTON, IL 60010 -
REGISTERED AGENT NAME CHANGED 2022-10-11 C T CORPORATION SYSTEM -
REVOKED FOR ANNUAL REPORT 2022-09-23 - -

Documents

Name Date
ANNUAL REPORT 2024-04-24
ANNUAL REPORT 2023-04-07
REINSTATEMENT 2022-10-11
Foreign Limited 2021-12-27

Date of last update: 03 Apr 2025

Sources: Florida Department of State