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  5. PARK AVENUE DERMATOLOGY, P.A.

PARK AVENUE DERMATOLOGY, P.A. - Florida Company Profile

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Company Details

Entity Name: PARK AVENUE DERMATOLOGY, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 24 Jun 2005 (20 years ago)
Last Event: AMENDMENT
Event Date Filed: 07 Mar 2016 (9 years ago)
Document Number: P05000090734
FEI/EIN Number 203091866
Address: 906 PARK AVENUE, ORANGE PARK, FL, 32073, US
Mail Address: 906 PARK AVENUE, ORANGE PARK, FL, 32073, US
ZIP code: 32073
City: Orange Park
County: Clay
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
SCHMIEDER GEORGE JDO President 906 PARK AVENUE, ORANGE PARK, FL, 32073
Schmieder Shawn JD.O. Secretary 906 Park Avenue, Orange Park, FL, 32073
SCHMIEDER GEORGE JD.O. Agent 906 PARK AVENUE, ORANGE PARK, FL, 32073

National Provider Identifier

NPI Number:
1205871001
Certification Date:
2023-12-13
Link:
View on NPI website

Authorized Person:

Name:
GEORGE J SCHMIEDER
Role:
PRESIDENT
Phone:
9045410315

Taxonomy:

Selected Taxonomy:
207ND0101X - MOHS-Micrographic Surgery Physician
Is Primary:
No
Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
Yes

Contacts:

Phone:
+1 904-541-0315
Fax:
9045410316

Form 5500 Series

Employer Identification Number (EIN):
203091866
Plan Year:
2015
Number Of Participants:
63
Sponsors Telephone Number:
9045410315
File:
View File
Plan Year:
2014
Number Of Participants:
58
Sponsors Telephone Number:
9045410315
File:
View File
Plan Year:
2014
Number Of Participants:
58
Sponsors Telephone Number:
9045410315
Plan Year:
2013
Number Of Participants:
63
Sponsors Telephone Number:
9045410315
File:
View File
Plan Year:
2012
Number Of Participants:
56
Sponsors Telephone Number:
9045410315
File:
View File

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G16000076719 PARK AVENUE BEAUTY BOUTIQUE EXPIRED 2016-08-01 2021-12-31 - 906 PARK AVENUE, ORANGE PARK, FL, 32073

Events

Event Type Filed Date Value Description
AMENDMENT 2016-03-07 - -
REGISTERED AGENT NAME CHANGED 2015-04-07 SCHMIEDER, GEORGE J, D.O. -
REGISTERED AGENT ADDRESS CHANGED 2015-04-07 906 PARK AVENUE, ORANGE PARK, FL 32073 -
CHANGE OF PRINCIPAL ADDRESS 2008-02-14 906 PARK AVENUE, ORANGE PARK, FL 32073 -
CHANGE OF MAILING ADDRESS 2008-02-14 906 PARK AVENUE, ORANGE PARK, FL 32073 -

Documents

Name Date
ANNUAL REPORT 2024-04-22
ANNUAL REPORT 2023-04-28
ANNUAL REPORT 2022-02-28
ANNUAL REPORT 2021-04-30
ANNUAL REPORT 2020-03-12
ANNUAL REPORT 2019-04-25
ANNUAL REPORT 2018-04-25
ANNUAL REPORT 2017-02-06
ANNUAL REPORT 2016-04-26
Amendment 2016-03-07

USAspending Awards / Financial Assistance

Date:
2020-04-11
Link:
View on USAspending
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:
953500.00
Total Face Value Of Loan:
953500.00

Trademarks

Serial Number:
87168364
Mark:
PARK AVENUE BEAUTY BOUTIQUE
Status:
Registration cancelled because registrant did not file an acceptable declaration under Section 8. To view all documents in this file, click on the Trademark Document Retrieval link at the top of this page.
Mark Type:
Service Mark
Application Filing Date:
2016-09-12
Mark Drawing Type:
4 - STANDARD CHARACTER MARK
Mark Literal Elements:
PARK AVENUE BEAUTY BOUTIQUE
USPTO Link:
View Trademark on United States Patent and Trademark Office Website

Goods And Services

For:
On-line retail store services featuring cosmetic products, lotions, creams, skin cleansers and sunscreen
First Use:
2016-08-04
International Classes:
035 - Primary Class
Class Status:
SECTION 8 - CANCELLED

Paycheck Protection Program

Jobs Reported:
84
Initial Approval Amount:
$953,500
Date Approved:
2020-04-11
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$953,500
Race:
White
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Veteran
Forgiveness Amount:
$966,637.11
Servicing Lender:
SouthState Bank, National Association
Use of Proceeds:
Payroll: $953,500

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906 PARK AVENUE, ORANGE PARK, FL, 32073, US

THE SISTERS RESTAURANT INC.
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THE SISTERS RESTAURANT INC., which currently Inactive, had registered address 906 PARK AVENUE, ORANGE PARK, FL, 32073, US.
AVE MARIA LIMITED PARTNERSHIP
Foreign Limited Partnership
AVE MARIA LIMITED PARTNERSHIP, which currently Active, has registered address 906 PARK AVENUE, ORANGE PARK, FL, 32073, US.
AVE MARIA LIMITED PARTNERSHIP
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AVE MARIA LIMITED PARTNERSHIP, which currently Active, has registered address 906 PARK AVENUE, ORANGE PARK, FL, 32073, US.

906 PARK AVENUE, ORANGE PARK, FL, 32073, US

THE SISTERS RESTAURANT INC.
Domestic Profit
THE SISTERS RESTAURANT INC., which currently Inactive, had registered address 906 PARK AVENUE, ORANGE PARK, FL, 32073, US.
AVE MARIA LIMITED PARTNERSHIP
Foreign Limited Partnership
AVE MARIA LIMITED PARTNERSHIP, which currently Active, has registered address 906 PARK AVENUE, ORANGE PARK, FL, 32073, US.
AVE MARIA LIMITED PARTNERSHIP
Foreign Limited Partnership
AVE MARIA LIMITED PARTNERSHIP, which currently Active, has registered address 906 PARK AVENUE, ORANGE PARK, FL, 32073, US.

Date of last update: 02 Aug 2025

Sources: Florida Department of State

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