| Entity Name: | DERICK DERMATOLOGY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Active |
| 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 (2 years ago) |
| Document Number: | M21000017579 |
| FEI/EIN Number | 204569672 |
| Mail Address: | 1600 N RANDALL ROAD, ELGIN, IL, 60123, US |
| Address: | 1531 S GROVE AVENUE, BARRINGTON, IL, 60010, US |
| Place of Formation: | ILLINOIS |
| 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 | |||||||||||||
|
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| 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 |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| DERICK AMY JM.D | Manager | 1531 S GROVE AVENUE, BARRINGTON, IL, 60010 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2022-10-11 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2022-10-11 | 1531 S GROVE AVENUE, BARRINGTON, IL 60010 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-10-11 | C T CORPORATION SYSTEM | No data |
| REVOKED FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| 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 Feb 2025
Sources: Florida Department of State
