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SUNSHINE DERMATOLOGY PA

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
WANG APPHIA Agent 1035 SOUTH STATE ROAD 7, WELLINGTON, FL, 33414

President

Name Role Address
WANG APPHIA President 1035 SOUTH STATE ROAD 7, SUITE 122, WELLINGTON, FL, 33414

Documents

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