Entity Name: | SUNSHINE DERMATOLOGY PA |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 10 Nov 2020 (4 years ago) |
Document Number: | P20000089988 |
FEI/EIN Number | 38-4163692 |
Address: | 1035 SOUTH STATE ROAD 7, SUITE NO. 122, WELLINGTON, FL, 33414 |
Mail Address: | 1035 SOUTH STATE ROAD 7, SUITE NO. 122, WELLINGTON, FL, 33414 |
ZIP code: | 33414 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1346832938 | 2021-02-05 | 2021-12-31 | 1035 S STATE ROAD 7 STE 122, WELLINGTON, FL, 334146136, US | 1035 S STATE ROAD 7 STE 122, WELLINGTON, FL, 334146136, US | |||||||||||||||
|
Phone | +1 561-440-2242 |
Phone | +1 561-440-8298 |
Authorized person
Name | APPHIA WANG |
Role | PRESIDENT |
Phone | 6503536377 |
Taxonomy
Taxonomy Code | 207N00000X - Dermatology Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
WANG APPHIA | Agent | 1035 SOUTH STATE ROAD 7, WELLINGTON, FL, 33414 |
Name | Role | Address |
---|---|---|
WANG APPHIA | President | 1035 SOUTH STATE ROAD 7, SUITE 122, WELLINGTON, FL, 33414 |
Name | Date |
---|---|
ANNUAL REPORT | 2024-01-05 |
ANNUAL REPORT | 2023-01-17 |
ANNUAL REPORT | 2022-01-25 |
ANNUAL REPORT | 2021-01-14 |
Domestic Profit | 2020-11-10 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State