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PRESTIGE DERMATOLOGY, INC. - Florida Company Profile

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Company Details

Entity Name: PRESTIGE DERMATOLOGY, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 15 Nov 2001 (24 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 25 Sep 2023 (2 years ago)
Document Number: P01000109651
FEI/EIN Number 593758247
Address: 5091 Little Road, NEW PORT RICHEY, FL, 34655, US
Mail Address: 4651 Van Dyke Road, Lutz, FL, 33558, US
ZIP code: 34655
City: New Port Richey
County: Pasco
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Ewanowski Rebecca L President 4651 Van Dyke Road, Lutz, FL, 33558
Ewanowski Christopher Dr. Admi 4651 Van Dyke Road, Lutz, FL, 33558
Ewanowski Rebecca Agent 4651 Van Dyke Road, Lutz, FL, 33558

National Provider Identifier

NPI Number:
1205039682

Authorized Person:

Name:
NATALIE L MONTICCIOLO
Role:
PROVIDER
Phone:

Taxonomy:

Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
Yes

Contacts:

Fax:
7278493208

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000018620 PRESTIGE DERMATOLOGY ACTIVE 2024-02-02 2029-12-31 - 5091 LITTLE ROAD, NEW PORT RICHEY, FL, 34655

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2024-04-23 4651 Van Dyke Road, Lutz, FL 33558 -
REGISTERED AGENT NAME CHANGED 2024-04-23 Ewanowski, Rebecca -
CHANGE OF MAILING ADDRESS 2024-04-23 5091 Little Road, NEW PORT RICHEY, FL 34655 -
REINSTATEMENT 2023-09-25 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 - -
CHANGE OF PRINCIPAL ADDRESS 2019-06-16 5091 Little Road, NEW PORT RICHEY, FL 34655 -
CANCEL ADM DISS/REV 2008-11-14 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2008-09-26 - -
CANCEL ADM DISS/REV 2007-11-28 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2007-09-14 - -

Documents

Name Date
ANNUAL REPORT 2024-04-23
REINSTATEMENT 2023-09-25
ANNUAL REPORT 2022-03-02
ANNUAL REPORT 2021-03-14
ANNUAL REPORT 2020-06-07
ANNUAL REPORT 2019-06-16
ANNUAL REPORT 2018-03-05
ANNUAL REPORT 2017-01-08
ANNUAL REPORT 2016-01-24
ANNUAL REPORT 2015-01-10

USAspending Awards / Financial Assistance

Date:
2020-04-30
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-30
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-11
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
144930.00
Total Face Value Of Loan:
144930.00
Date:
2020-04-11
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
144930.00
Total Face Value Of Loan:
144930.00

Paycheck Protection Program

Jobs Reported:
17
Initial Approval Amount:
$144,930
Date Approved:
2020-04-10
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$144,930
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Unanswered
Forgiveness Amount:
$145,924.67
Servicing Lender:
TD Bank, National Association
Use of Proceeds:
Payroll: $144,930

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Date of last update: 01 Aug 2025

Sources: Florida Department of State