Search icon

FLORIDA DERMATOLOGY ASSOCIATES, INC. - Florida Company Profile

Company claim

Is this your business?

Get access!

Company Details

Entity Name: FLORIDA DERMATOLOGY ASSOCIATES, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 01 Jul 1988 (37 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 23 Oct 2003 (22 years ago)
Document Number: M89087
FEI/EIN Number 592896023
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
City: Palm Bay
County: Brevard
Place of Formation: FLORIDA

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

National Provider Identifier

NPI Number:
1073577136
Certification Date:
2023-11-10

Authorized Person:

Name:
DR. RUBEN MORENO
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207ND0101X - MOHS-Micrographic Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
3217994903
Fax:
3217686418

Form 5500 Series

Employer Identification Number (EIN):
592896023
Plan Year:
2023
Number Of Participants:
47
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
46
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
50
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
52
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
59
Sponsors Telephone Number:

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

Jobs Reported:
49
Initial Approval Amount:
$373,500
Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$373,500
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$375,492
Servicing Lender:
SouthState Bank, National Association
Use of Proceeds:
Payroll: $373,500

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 02 Jul 2025

Sources: Florida Department of State