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  5. BEACHES DERMATOLOGY, P.A.

BEACHES DERMATOLOGY, P.A. - Florida Company Profile

Company Details

Entity Name: BEACHES DERMATOLOGY, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

BEACHES DERMATOLOGY, P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 18 Dec 1992 (32 years ago)
Document Number: P92000012966
FEI/EIN Number 593155402

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 103 SOLANA RD, SUITE B, PONTE VEDRA, FL, 32082, US
Mail Address: 103 SOLANA RD, SUITE B, PONTE VEDRA, FL, 32082, US
ZIP code: 32082
County: St. Johns
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1780627521 2006-06-13 2017-01-10 103 SOLANA RD, SUITE B, PONTE VEDRA BEACH, FL, 320822231, US 103 SOLANA RD, SUITE B, PONTE VEDRA BEACH, FL, 320822231, US

Contacts
Phone +1 904-273-2717

Authorized person
Name DR. CLARENCE E BOUDREAUX
Role PRESIDENT
Phone 9042732717

Taxonomy
Taxonomy Code 174400000X - Specialist
License Number 207N00000X
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BEACHES DERMATOLOGY, P.A. CASH BALANCE PLAN 2023 593155402 2024-06-06 BEACHES DERMATOLOGY, P.A. 50
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 9042732717
Plan sponsor’s address 103 B SOLANA ROAD, SUITE B, PONTE VEDRA BEACH, FL, 32082
BEACHES DERMATOLOGY, P.A. CASH BALANCE PLAN 2022 593155402 2023-07-19 BEACHES DERMATOLOGY, P.A. 49
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 9042732717
Plan sponsor’s address 103 B SOLANA ROAD, SUITE B, PONTE VEDRA BEACH, FL, 32082
BEACHES DERMATOLOGY, P.A. CASH BALANCE PLAN 2021 593155402 2022-08-04 BEACHES DERMATOLOGY, P.A. 41
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 9042732717
Plan sponsor’s address 103 SOLANA ROAD, UNIT B, PONTE VEDRA BEACH, FL, 32082
BEACHES DERMATOLOGY, P.A. CASH BALANCE PLAN 2020 593155402 2021-10-14 BEACHES DERMATOLOGY, P.A. 38
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 9042732717
Plan sponsor’s address 103 SOLANA ROAD, UNIT B, PONTE VEDRA BEACH, FL, 32082

Signature of
Role Plan administrator
Date 2021-10-14
Name of individual signing DR. RUSSELL METZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-14
Name of individual signing DR. RUSSELL METZ
Valid signature Filed with authorized/valid electronic signature
BEACHES DERMATOLOGY, P.A. CASH BALANCE PLAN 2019 593155402 2020-10-13 BEACHES DERMATOLOGY, P.A. 40
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 9042732717
Plan sponsor’s address 103 SOLANA ROAD, UNIT B, PONTE VEDRA BEACH, FL, 32082

Signature of
Role Plan administrator
Date 2020-10-13
Name of individual signing DR. RUSSELL METZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-13
Name of individual signing DR. RUSSELL METZ
Valid signature Filed with authorized/valid electronic signature
BEACHES DERMATOLOGY, P.A. CASH BALANCE PLAN 2018 593155402 2019-05-31 BEACHES DERMATOLOGY, P.A. 34
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 9042732717
Plan sponsor’s address 103 SOLANA ROAD, UNIT B, PONTE VEDRA BEACH, FL, 32082

Signature of
Role Plan administrator
Date 2019-05-31
Name of individual signing DR. RUSSELL METZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-05-31
Name of individual signing DR. RUSSELL METZ
Valid signature Filed with authorized/valid electronic signature
BEACHES DERMATOLOGY, P.A. CASH BALANCE PLAN 2017 593155402 2018-06-08 BEACHES DERMATOLOGY, P.A. 35
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 9042732717
Plan sponsor’s address 103 SOLANA ROAD, UNIT B, PONTE VEDRA BEACH, FL, 32082

Signature of
Role Plan administrator
Date 2018-06-08
Name of individual signing DR. RUSSELL METZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-08
Name of individual signing DR. RUSSELL METZ
Valid signature Filed with authorized/valid electronic signature
BEACHES DERMATOLOGY, P.A. CASH BALANCE PLAN 2016 593155402 2017-06-07 BEACHES DERMATOLOGY, P.A. 34
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 9042732717
Plan sponsor’s address 103 SOLANA ROAD, UNIT B, PONTE VEDRA BEACH, FL, 32082

Signature of
Role Plan administrator
Date 2017-06-07
Name of individual signing DR. RUSSELL METZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-07
Name of individual signing DR. RUSSELL METZ
Valid signature Filed with authorized/valid electronic signature
BEACHES DERMATOLOGY, P.A. CASH BALANCE PLAN 2015 593155402 2016-07-18 BEACHES DERMATOLOGY, P.A. 34
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 9042732717
Plan sponsor’s address 103 SOLANA ROAD, UNIT B, PONTE VEDRA BEACH, FL, 32082

Signature of
Role Plan administrator
Date 2016-07-18
Name of individual signing RUSSELL D. METZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-18
Name of individual signing RUSSELL D. METZ
Valid signature Filed with authorized/valid electronic signature
BEACHES DERMATOLOGY, P.A. CASH BALANCE PLAN 2014 593155402 2015-10-01 BEACHES DERMATOLOGY, P.A. 34
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 9042730588
Plan sponsor’s address 103 SALANA ROAD, UNIT B, PONTE VEDRA BEACH, FL, 32082

Signature of
Role Plan administrator
Date 2015-10-01
Name of individual signing RUSSELL METZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-01
Name of individual signing RUSSELL METZ
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
BOUDREAUX CLARENCE E Director 103 SOLANA RD STE B, PONTE VEDRA, FL, 32082
METZ RUSSELL M Secretary 103 SOLANA RD STE B, PONTE VEDRA, FL, 32082
Zerbe Summer Prac 103 SOLANA RD, PONTE VEDRA, FL, 32082
Boudreaux Clarence E Agent 103 SOLANA ROAD STE B, PONTE VEDRA BEACH, FL, 32082

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2023-03-02 Boudreaux, Clarence E -
REGISTERED AGENT ADDRESS CHANGED 2023-03-02 103 SOLANA ROAD STE B, PONTE VEDRA BEACH, FL 32082 -
CHANGE OF PRINCIPAL ADDRESS 1998-01-27 103 SOLANA RD, SUITE B, PONTE VEDRA, FL 32082 -
CHANGE OF MAILING ADDRESS 1998-01-27 103 SOLANA RD, SUITE B, PONTE VEDRA, FL 32082 -

Documents

Name Date
ANNUAL REPORT 2025-01-06
ANNUAL REPORT 2024-03-05
ANNUAL REPORT 2023-03-02
ANNUAL REPORT 2022-02-21
ANNUAL REPORT 2021-02-15
ANNUAL REPORT 2020-02-15
ANNUAL REPORT 2019-02-25
ANNUAL REPORT 2018-03-10
ANNUAL REPORT 2017-02-16
ANNUAL REPORT 2016-02-17

Companies related by officers

No other companies in our directory share the same officers as BEACHES DERMATOLOGY, P.A.

Companies related by address

No other companies in our directory share the same address as BEACHES DERMATOLOGY, P.A.

Date of last update: 02 Mar 2025

Sources: Florida Department of State

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