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LUMINARY DERMATOLOGY P.A. - Florida Company Profile

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Company Details

Entity Name: LUMINARY DERMATOLOGY P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 23 Apr 2019 (6 years ago)
Last Event: AMENDMENT
Event Date Filed: 08 Jul 2020 (5 years ago)
Document Number: P19000033762
FEI/EIN Number 83-4517728
Address: 4411 BEE RIDGE ROAD PMB 309, SARASOTA, FL, 34233
Mail Address: 4411 BEE RIDGE ROAD PMB 309, SARASOTA, FL, 34233
ZIP code: 34233
City: Sarasota
County: Sarasota
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
DUNN CARY L Director 4411 BEE RIDGE ROAD PMB 309, SARASOTA, FL, 34233
Phillips Jessica L Chief Executive Officer 4411 BEE RIDGE ROAD PMB 309, SARASOTA, FL, 34233
Phillips Jessica L Agent 4411 BEE RIDGE ROAD PMB 309, SARASOTA, FL, 34233

National Provider Identifier

NPI Number:
1851955983
Certification Date:
2025-01-27

Authorized Person:

Name:
MRS. JESSICA LYNN PHILLIPS
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
No
Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
No
Selected Taxonomy:
207VG0400X - Gynecology Physician
Is Primary:
No
Selected Taxonomy:
208200000X - Plastic Surgery Physician
Is Primary:
No
Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
No

Contacts:

Fax:
9412968501

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000069485 LUMINARY MEDICAL GROUP ACTIVE 2020-06-19 2025-12-31 - 4411 BEE RIDGE RD, PMB 309, SARASOTA, FL, 34232

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2021-04-28 Phillips, Jessica L -
AMENDMENT 2020-07-08 - -

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-04-28
ANNUAL REPORT 2022-04-29
ANNUAL REPORT 2021-04-28
Amendment 2020-07-08
ANNUAL REPORT 2020-06-09
Domestic Profit 2019-04-23

USAspending Awards / Financial Assistance

Date:
2020-04-30
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:
47500.00
Total Face Value Of Loan:
47500.00
Date:
2020-04-30
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:
47500.00
Total Face Value Of Loan:
47500.00

Paycheck Protection Program

Jobs Reported:
8
Initial Approval Amount:
$47,500
Date Approved:
2020-04-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$47,500
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$48,112.95
Servicing Lender:
Bank OZK
Use of Proceeds:
Payroll: $47,500

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Date of last update: 01 Aug 2025

Sources: Florida Department of State