| Entity Name: | YOUNG SKIN, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 30 Dec 2019 (5 years ago) |
| Document Number: | P20000002182 |
| FEI/EIN Number | 84-4279864 |
| Address: | 8018 Wiles Road, Coral Springs, FL, 33067, US |
| Mail Address: | 8018 Wiles Road, Coral Springs, FL, 33067, US |
| ZIP code: | 33067 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144855172 | 2020-03-10 | 2020-03-10 | 11076 MERIDIAN DR N, PARKLAND, FL, 330764592, US | 5200 S UNIVERSITY DR STE 102, DAVIE, FL, 333285316, US | |||||||||||||||||
|
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| Phone | +1 954-821-1331 |
| Phone | +1 954-242-4275 |
| Fax | 9545305562 |
Authorized person
| Name | DR. LATANYA T. BENJAMIN |
| Role | PRESIDENT |
| Phone | 9548211331 |
Taxonomy
| Taxonomy Code | 207NP0225X - Pediatric Dermatology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BENJAMIN LATANYA T | Agent | 8018 Wiles Road, Coral Springs, FL, 33067 |
| Name | Role | Address |
|---|---|---|
| BENJAMIN LATANYA | President | 8018 Wiles Road, Coral Springs, FL, 33067 |
| Name | Role | Address |
|---|---|---|
| BENJAMIN LATANYA | Secretary | 8018 Wiles Road, Coral Springs, FL, 33067 |
| Name | Role | Address |
|---|---|---|
| BENJAMIN LATANYA | Treasurer | 8018 Wiles Road, Coral Springs, FL, 33067 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-10-19 | 8018 Wiles Road, Coral Springs, FL 33067 | No data |
| CHANGE OF MAILING ADDRESS | 2023-10-19 | 8018 Wiles Road, Coral Springs, FL 33067 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-10-19 | 8018 Wiles Road, Coral Springs, FL 33067 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| AMENDED ANNUAL REPORT | 2023-10-19 |
| ANNUAL REPORT | 2023-01-31 |
| ANNUAL REPORT | 2022-02-09 |
| ANNUAL REPORT | 2021-03-16 |
| ANNUAL REPORT | 2020-04-28 |
| Domestic Profit | 2019-12-30 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
