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  5. SKIN ASSOCIATES OF SOUTH FLORIDA, P.A.

SKIN ASSOCIATES OF SOUTH FLORIDA, P.A.

Company Details

Entity Name: SKIN ASSOCIATES OF SOUTH FLORIDA, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 21 Apr 2015 (10 years ago)
Document Number: P15000036067
FEI/EIN Number 47-3798411
Address: 4425 PONCE DE LEON BLVD., SUITE 200, CORAL GABLES, FL, 33146
Mail Address: 4425 PONCE DE LEON BLVD., SUITE 200, CORAL GABLES, FL, 33146
ZIP code: 33146
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1801283122 2015-04-24 2015-04-24 4425 PONCE DE LEON BLVD, SUITE 200, CORAL GABLES, FL, 331461837, US 4425 PONCE DE LEON BLVD, SUITE 200, CORAL GABLES, FL, 331461837, US

Contacts
Phone +1 305-443-6606
Fax 3054434890

Authorized person
Name DR. JOELY KAUFMAN JANETTE
Role OWNER
Phone 3054436606

Taxonomy
Taxonomy Code 207N00000X - Dermatology Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SKIN ASSOCIATES OF SOUTH FLORIDA, P.A. 401(K) PLAN 2023 473798411 2024-02-26 SKIN ASSOCIATES OF SOUTH FLORIDA, P.A. 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-04-21
Business code 621111
Sponsor’s telephone number 3053229627
Plan sponsor’s address 4425 PONCE DE LEON BOULEVARD, SUITE 200, CORAL GABLES, FL, 33146

Signature of
Role Plan administrator
Date 2024-02-26
Name of individual signing JEREMY GREEN
Valid signature Filed with authorized/valid electronic signature
SKIN ASSOCIATES OF SOUTH FLORIDA, P.A. 401(K) PLAN 2022 473798411 2023-03-03 SKIN ASSOCIATES OF SOUTH FLORIDA, P.A. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-04-21
Business code 621111
Sponsor’s telephone number 3053229627
Plan sponsor’s address 4425 PONCE DE LEON BOULEVARD, SUITE 200, CORAL GABLES, FL, 33146

Signature of
Role Plan administrator
Date 2023-03-03
Name of individual signing JEREMY GREEN
Valid signature Filed with authorized/valid electronic signature
SKIN ASSOCIATES OF SOUTH FLORIDA, P.A. 401(K) PLAN 2021 473798411 2022-04-19 SKIN ASSOCIATES OF SOUTH FLORIDA, P.A. 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-04-21
Business code 621111
Sponsor’s telephone number 3053229627
Plan sponsor’s address 4425 PONCE DE LEON BOULEVARD, SUITE 200, CORAL GABLES, FL, 33146

Signature of
Role Plan administrator
Date 2022-04-19
Name of individual signing JEREMY GREEN
Valid signature Filed with authorized/valid electronic signature
SKIN ASSOCIATES OF SOUTH FLORIDA, P.A. 401(K) PLAN 2020 473798411 2021-09-21 SKIN ASSOCIATES OF SOUTH FLORIDA, P.A. 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-04-21
Business code 621111
Sponsor’s telephone number 3053229627
Plan sponsor’s address 4425 PONCE DE LEON BOULEVARD, SUITE 200, CORAL GABLES, FL, 33146

Signature of
Role Plan administrator
Date 2021-09-21
Name of individual signing JOELY KAUFMAN-JANETTE
Valid signature Filed with authorized/valid electronic signature
SKIN ASSOCIATES OF SOUTH FLORIDA, P.A. 401(K) PLAN 2019 473798411 2020-10-02 SKIN ASSOCIATES OF SOUTH FLORIDA, P.A. 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-04-21
Business code 621111
Sponsor’s telephone number 3053229627
Plan sponsor’s address 4425 PONCE DE LEON BOULEVARD, SUITE 200, CORAL GABLES, FL, 33146

Signature of
Role Plan administrator
Date 2020-10-02
Name of individual signing JOELY KAUFMAN-JANETTE
Valid signature Filed with authorized/valid electronic signature
SKIN ASSOCIATES OF SOUTH FLORIDA, P.A. 401(K) PLAN 2018 473798411 2019-09-30 SKIN ASSOCIATES OF SOUTH FLORIDA, P.A. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-04-21
Business code 621111
Sponsor’s telephone number 3053229627
Plan sponsor’s address 4425 PONCE DE LEON BOULEVARD, SUITE 200, CORAL GABLES, FL, 33146

Signature of
Role Plan administrator
Date 2019-09-30
Name of individual signing JOELY KAUFMAN-JANETTE
Valid signature Filed with authorized/valid electronic signature
SKIN ASSOCIATES OF SOUTH FLORIDA, P.A. 401(K) PLAN 2017 473798411 2018-10-03 SKIN ASSOCIATES OF SOUTH FLORIDA, P.A. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-04-21
Business code 621111
Sponsor’s telephone number 3053229627
Plan sponsor’s address 4425 PONCE DE LEON BOULEVARD, SUITE 200, CORAL GABLES, FL, 33146

Signature of
Role Plan administrator
Date 2018-10-03
Name of individual signing JOELY KAUFMAN-JANETTE
Valid signature Filed with authorized/valid electronic signature
SKIN ASSOCIATES OF SOUTH FLORIDA, P.A. 401(K) PLAN 2016 473798411 2017-10-04 SKIN ASSOCIATES OF SOUTH FLORIDA, P.A. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-04-21
Business code 621111
Sponsor’s telephone number 3053229627
Plan sponsor’s address 4425 PONCE DE LEON BOULEVARD, SUITE 200, CORAL GABLES, FL, 33146

Signature of
Role Plan administrator
Date 2017-10-04
Name of individual signing JOELY KAUFMAN-JANETTE
Valid signature Filed with authorized/valid electronic signature
SKIN ASSOCIATES OF SOUTH FLORIDA, P.A. 401(K) PLAN 2015 473798411 2016-10-11 SKIN ASSOCIATES OF SOUTH FLORIDA, P.A. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-04-21
Business code 621111
Sponsor’s telephone number 3053229627
Plan sponsor’s address 4425 PONCE DE LEON BOULEVARD, SUITE 200, CORAL GABLES, FL, 33146

Signature of
Role Plan administrator
Date 2016-10-11
Name of individual signing JOELY KAUFMAN-JANETTE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
STEARNS WEAVER MILLER WEISSLER, ET. AL Agent C/O RICHARD E. SCHATZ, ESQUIRE, MIAMI, FL, 33130

Officer

Name Role Address
Kaufman Janette Joely Dr. Officer 4425 PONCE DE LEON BLVD., CORAL GABLES, FL, 33146

Vice President

Name Role Address
Green Jeremy Vice President 4425 PONCE DE LEON BLVD., CORAL GABLES, FL, 33146

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G15000067685 SKIN ASSOCIATES OF SOUTH FLORIDA ACTIVE 2015-06-29 2025-12-31 No data 4425 PONCE DE LEON BLVD., SUITE 200, CORAL GABLES, FL, 33146

Documents

Name Date
ANNUAL REPORT 2024-02-05
ANNUAL REPORT 2023-01-31
ANNUAL REPORT 2022-07-16
ANNUAL REPORT 2021-02-05
ANNUAL REPORT 2020-01-20
ANNUAL REPORT 2019-04-05
ANNUAL REPORT 2018-03-28
ANNUAL REPORT 2017-01-08
ANNUAL REPORT 2016-03-01
Domestic Profit 2015-04-21

Related by officers

Green Jeremy

FINAL BELL HOLDINGS INC.

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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