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  5. FLORIDA DERMATOLOGY ASSOCIATES, INC.

FLORIDA DERMATOLOGY ASSOCIATES, INC. - Florida Company Profile

Company Details

Entity Name: FLORIDA DERMATOLOGY ASSOCIATES, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

FLORIDA DERMATOLOGY ASSOCIATES, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation 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: 01 Jul 1988 (37 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 23 Oct 2003 (21 years ago)
Document Number: M89087
FEI/EIN Number 592896023

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 5070 MINTON RD NW, SUITE 5, PALM BAY, FL, 32907
Mail Address: 5070 MINTON ROAD NW, SUITE 3A, PALM BAY, FL, 32907
ZIP code: 32907
County: Brevard
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FLORIDA DERMATOLOGY ASSOCIATES 401(K) PLAN 2023 592896023 2024-10-02 FLORIDA DERMATOLOGY ASSOCIATES, INC. 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621399
Sponsor’s telephone number 3217681600
Plan sponsor’s address 5070 MINTON RD NW, PALM BAY, FL, 329071157

Signature of
Role Plan administrator
Date 2024-10-02
Name of individual signing DEANA WOODLING
Valid signature Filed with authorized/valid electronic signature
FLORIDA DERMATOLOGY ASSOCIATES 401(K) PLAN 2022 592896023 2023-02-03 FLORIDA DERMATOLOGY ASSOCIATES, INC. 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621399
Sponsor’s telephone number 3217681600
Plan sponsor’s address 5070 MINTON RD NW, PALM BAY, FL, 329071157

Signature of
Role Plan administrator
Date 2023-02-03
Name of individual signing RUBEN MORENO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-02-03
Name of individual signing RUBEN MORENO
Valid signature Filed with authorized/valid electronic signature
FLORIDA DERMATOLOGY ASSOCIATES 401(K) PLAN 2021 592896023 2022-03-09 FLORIDA DERMATOLOGY ASSOCIATES, INC. 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621399
Sponsor’s telephone number 3217681600
Plan sponsor’s address 5070 MINTON RD NW, PALM BAY, FL, 329071157

Signature of
Role Plan administrator
Date 2022-03-09
Name of individual signing DEANA WOODLING
Valid signature Filed with authorized/valid electronic signature
FLORIDA DERMATOLOGY ASSOCIATES 401(K) PLAN 2020 592896023 2021-05-12 FLORIDA DERMATOLOGY ASSOCIATES, INC. 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621399
Sponsor’s telephone number 3217681600
Plan sponsor’s address 5070 MINTON RD NW, PALM BAY, FL, 329071157

Signature of
Role Plan administrator
Date 2021-05-12
Name of individual signing DEANA WOODLING
Valid signature Filed with authorized/valid electronic signature
FLORIDA DERMATOLOGY ASSOCIATES 401(K) PLAN 2019 592896023 2020-04-14 FLORIDA DERMATOLOGY ASSOCIATES, INC. 59
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621399
Sponsor’s telephone number 3217681600
Plan sponsor’s address 5070 MINTON RD NW, PALM BAY, FL, 329071157

Signature of
Role Plan administrator
Date 2020-04-14
Name of individual signing DEANA WOODLING
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-04-14
Name of individual signing DEANA WOODLING
Valid signature Filed with authorized/valid electronic signature
FLORIDA DERMATOLOGY ASSOCIATES 401(K) PLAN 2018 592896023 2019-07-12 FLORIDA DERMATOLOGY ASSOCIATES, INC. 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621399
Sponsor’s telephone number 3217681600
Plan sponsor’s address 5070 MINTON RD NW, PALM BAY, FL, 329071157

Signature of
Role Plan administrator
Date 2019-07-12
Name of individual signing SUSAN DETWILER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-12
Name of individual signing SUSAN DETWILER
Valid signature Filed with authorized/valid electronic signature
FLORIDA DERMATOLOGY ASSOCIATES 401(K) PLAN 2017 592896023 2018-07-30 FLORIDA DERMATOLOGY ASSOCIATES, INC. 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621399
Sponsor’s telephone number 3217681600
Plan sponsor’s address 5070 MINTON RD NW, PALM BAY, FL, 329071157

Signature of
Role Plan administrator
Date 2018-07-30
Name of individual signing SUSAN DETWILER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-30
Name of individual signing SUSAN DETWILER
Valid signature Filed with authorized/valid electronic signature
FLORIDA DERMATOLOGY ASSOCIATES 401(K) PLAN 2016 592896023 2017-08-11 FLORIDA DERMATOLOGY ASSOCIATES, INC. 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621399
Sponsor’s telephone number 3217681600
Plan sponsor’s address 5070 MINTON RD NW, PALM BAY, FL, 329071157

Signature of
Role Plan administrator
Date 2017-08-11
Name of individual signing SUSAN DETWILER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-08-11
Name of individual signing SUSAN DETWILER
Valid signature Filed with authorized/valid electronic signature
FLORIDA DERMATOLOGY ASSOCIATES 401(K) PLAN 2015 592896023 2016-07-26 FLORIDA DERMATOLOGY ASSOCIATES, INC. 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621399
Sponsor’s telephone number 3217681600
Plan sponsor’s address 5070 MINTON RD NW, PALM BAY, FL, 329071157

Signature of
Role Plan administrator
Date 2016-07-26
Name of individual signing SUSAN DETWILER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-26
Name of individual signing SUSAN DETWILER
Valid signature Filed with authorized/valid electronic signature
FLORIDA DERMATOLOGY ASSOCIATES 401(K) PLAN 2014 592896023 2015-07-15 FLORIDA DERMATOLOGY ASSOCIATES, INC. 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621399
Sponsor’s telephone number 3217681600
Plan sponsor’s address 5070 MINTON RD NW, PALM BAY, FL, 329071157

Signature of
Role Plan administrator
Date 2015-07-15
Name of individual signing SUSAN DETWILER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-15
Name of individual signing SUSAN DETWILER
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
MORENO RUBEN A President 812 OAK PARK DRIVE, MELBOURNE, FL, 32940
MORENO RUBEN A Agent 812 OAK PARK DRIVE, MELBOURNE, FL, 32940

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000076402 ROCKLEDGE DERMATOLOGY ACTIVE 2023-06-26 2028-12-31 - 5070 MINTON ROAD NW, SUITE 3, PALM BAY, FL, 32907
G21000083547 TITUSVILLE DERMATOLOGY ACTIVE 2021-06-23 2026-12-31 - 5070 MINTON ROAD NW, SUITE 3A, PALM BAY, FL, 32907
G14000107350 SUNTREE DERMATOLOGY ACTIVE 2014-10-23 2029-12-31 - 5070 MINTON RD NW, STE 3 A, PALM BAY, FL, 32907
G11000052255 COCOA BEACH DERMATOLOGY ACTIVE 2011-06-03 2026-12-31 - 5070 MINTON ROAD, SUITE 3A, PALM BAY, FL, 32907
G11000052245 PORT ST JOHN DERMATOLOGY ACTIVE 2011-06-03 2026-12-31 - 5070 MINTON ROAD, SUITE 3A, PALM BAY, FL, 32907
G11000052259 PALM BAY DERMATOLOGY ACTIVE 2011-06-03 2026-12-31 - 5070 MINTON ROAD, SUITE 3A, PALM BAY, FL, 32907

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2009-02-19 5070 MINTON RD NW, SUITE 5, PALM BAY, FL 32907 -
REGISTERED AGENT ADDRESS CHANGED 2005-03-14 812 OAK PARK DRIVE, MELBOURNE, FL 32940 -
CHANGE OF PRINCIPAL ADDRESS 2004-04-13 5070 MINTON RD NW, SUITE 5, PALM BAY, FL 32907 -
NAME CHANGE AMENDMENT 2003-10-23 FLORIDA DERMATOLOGY ASSOCIATES, INC. -
REINSTATEMENT 2000-12-26 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 1997-09-26 - -

Documents

Name Date
ANNUAL REPORT 2025-01-14
ANNUAL REPORT 2024-01-08
ANNUAL REPORT 2023-01-03
ANNUAL REPORT 2022-01-03
ANNUAL REPORT 2021-01-05
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-01-03
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-01-24
ANNUAL REPORT 2016-01-25

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8512577110 2020-04-15 0455 PPP 5070 Minton Road N/A, PALM BAY, FL, 32907
Loan Status Date 2020-11-18
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 373500
Loan Approval Amount (current) 373500
Undisbursed Amount 0
Franchise Name -
Lender Location ID 117723
Servicing Lender Name SouthState Bank, National Association
Servicing Lender Address 1101 First St South, WINTER HAVEN, FL, 33880-3908
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address PALM BAY, BREVARD, FL, 32907-1000
Project Congressional District FL-08
Number of Employees 49
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 117723
Originating Lender Name SouthState Bank, National Association
Originating Lender Address WINTER HAVEN, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 375492
Forgiveness Paid Date 2020-11-05

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Companies related by address

No other companies in our directory share the same address as FLORIDA DERMATOLOGY ASSOCIATES, INC.

Date of last update: 02 Apr 2025

Sources: Florida Department of State

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