Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Broward
    4. ›
  4. 33441
    5. ›
  5. RSB DERMATOLOGY, INC.

RSB DERMATOLOGY, INC.

Company Details

Entity Name: RSB DERMATOLOGY, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 15 Dec 1999 (25 years ago)
Document Number: P99000108047
FEI/EIN Number 650967531
Address: 1500 E. HILLSBORO BLVD., 204, DEERFIELD BEACH, FL, 33441
Mail Address: 1500 E. HILLSBORO BLVD., 204, DEERFIELD BEACH, FL, 33441
ZIP code: 33441
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1386748952 2006-09-12 2014-10-13 1500 EAST HILLSBORO BLVD, SUITE 204, DEERFIELD BEACH, FL, 33441, US 1500 EAST HILLSBORO BLVD, SUITE 204, DEERFIELD BEACH, FL, 33441, US

Contacts
Phone +1 954-421-3200
Fax 9544213201

Authorized person
Name DR. ROBERT S BADER
Role PRESIDENT PHYSICIAN
Phone 9544213200

Taxonomy
Taxonomy Code 207N00000X - Dermatology Physician
License Number ME77930
State FL
Is Primary Yes
Taxonomy Code 207ND0101X - MOHS-Micrographic Surgery Physician
License Number ME77930
State FL
Is Primary No
Taxonomy Code 207ND0900X - Dermatopathology Physician
License Number ME77930
State FL
Is Primary No
Taxonomy Code 207NS0135X - Procedural Dermatology Physician
License Number ME77930
State FL
Is Primary No

Other Provider Identifiers
Issuer BLUE CROSS BLUE SHIELD
Number 46406

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RSB DERMATOLOGY INC PROFIT SHARING PLAN AND TRUST 2023 650967531 2024-01-25 RSB DERMATOLOGY INC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 9544213200
Plan sponsor’s address 1500 E. HILLSBORO BLVD., SUITE 204, DEERFIELD BEACH, FL, 33441

Signature of
Role Plan administrator
Date 2024-01-25
Name of individual signing ROBERT S BADER MD
Valid signature Filed with authorized/valid electronic signature
RSB DERMATOLOGY INC DEFINED BENEFIT PLAN 2022 650967531 2023-10-23 RSB DERMATOLOGY INC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-05-01
Business code 621111
Sponsor’s telephone number 9544213200
Plan sponsor’s address 1500 E. HILLSBORO BLVD., SUITE 204, DEERFIELD BEACH, FL, 33441

Signature of
Role Plan administrator
Date 2023-10-23
Name of individual signing ROBERT S BADER MD
Valid signature Filed with authorized/valid electronic signature
RSB DERMATOLOGY INC PROFIT SHARING PLAN AND TRUST 2022 650967531 2023-05-01 RSB DERMATOLOGY INC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 9544213200
Plan sponsor’s address 1500 E. HILLSBORO BLVD., SUITE 204, DEERFIELD BEACH, FL, 33441

Signature of
Role Plan administrator
Date 2023-05-01
Name of individual signing ROBERT S BADER MD
Valid signature Filed with authorized/valid electronic signature
RSB DERMATOLOGY INC DEFINED BENEFIT PLAN 2021 650967531 2022-11-08 RSB DERMATOLOGY INC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-05-01
Business code 621111
Sponsor’s telephone number 9544213200
Plan sponsor’s address 1500 E HILLSBORO BOULEVARD, SUITE 204, DEERFIELD BEACH, FL, 33441

Signature of
Role Plan administrator
Date 2022-11-08
Name of individual signing ROBERT S BADER MD
Valid signature Filed with authorized/valid electronic signature
RSB DERMATOLOGY INC PROFIT SHARING PLAN AND TRUST 2021 650967531 2022-02-10 RSB DERMATOLOGY INC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 9544213200
Plan sponsor’s address 99 SE MIZNER BLVD APARTMENT PH7, BOCA RATON, FL, 33432

Signature of
Role Plan administrator
Date 2022-02-10
Name of individual signing ROBERT S BADER MD
Valid signature Filed with authorized/valid electronic signature
RSB DERMATOLOGY INC PROFIT SHARING PLAN AND TRUST 2020 650967531 2021-04-23 RSB DERMATOLOGY INC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 9544213200
Plan sponsor’s address 99 SE MIZNER BLVD APARTMENT PH7, BOCA RATON, FL, 33432

Signature of
Role Plan administrator
Date 2021-04-23
Name of individual signing ROBERT S BADER MD
Valid signature Filed with authorized/valid electronic signature
RSB DERMATOLOGY INC DEFINED BENEFIT PLAN 2020 650967531 2022-02-02 RSB DERMATOLOGY INC 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-05-01
Business code 621111
Sponsor’s telephone number 9544213200
Plan sponsor’s address 99 SE MIZNER BOULEVARD, APT PH7, BOCA RATON, FL, 33432

Signature of
Role Plan administrator
Date 2022-02-02
Name of individual signing ROBERT S BADER MD
Valid signature Filed with authorized/valid electronic signature
RSB DERMATOLOGY INC PROFIT SHARING PLAN AND TRUST 2019 650967531 2020-06-17 RSB DERMATOLOGY INC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 9544213200
Plan sponsor’s address 99 SE MIZNER BLVD APARTMENT PH7, BOCA RATON, FL, 33432

Signature of
Role Plan administrator
Date 2020-06-17
Name of individual signing ROBERT S BADER MD
Valid signature Filed with authorized/valid electronic signature
RSB DERMATOLOGY INC DEFINED BENEFIT PLAN 2019 650967531 2020-12-09 RSB DERMATOLOGY INC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-05-01
Business code 621111
Sponsor’s telephone number 9544213200
Plan sponsor’s address 99 SE MIZNER BOULEVARD, APT PH7, BOCA RATON, FL, 33432

Signature of
Role Plan administrator
Date 2020-12-09
Name of individual signing ROBERT S BADER MD
Valid signature Filed with authorized/valid electronic signature
RSB DERMATOLOGY INC DEFINED BENEFIT PLAN 2018 650967531 2020-05-15 RSB DERMATOLOGY INC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-05-01
Business code 621111
Sponsor’s telephone number 9544213200
Plan sponsor’s address 1500 E HILLSBORO BLVD, SUITE 204, DEERFIELD BEACH, FL, 33441

Signature of
Role Plan administrator
Date 2020-05-15
Name of individual signing ROBERT S BADER MD
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
BADER ROBERT S Agent 1500 E. HILLSBORO BLVD, DEERFIELD BEACH, FL, 33441

President

Name Role Address
BADER ROBERT S President 1500 E. HILLSBORO BLVD. #204, DEERFIELD BEACH, FL, 33441

Secretary

Name Role Address
BADER ROBERT S Secretary 1500 E. HILLSBORO BLVD. #204, DEERFIELD BEACH, FL, 33441

Treasurer

Name Role Address
BADER ROBERT S Treasurer 1500 E. HILLSBORO BLVD. #204, DEERFIELD BEACH, FL, 33441

Director

Name Role Address
BADER ROBERT S Director 1500 E. HILLSBORO BLVD SUITE 204, DEERFIELD BEACH, FL, 33441

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2010-05-03 1500 E. HILLSBORO BLVD., 204, DEERFIELD BEACH, FL 33441 No data
CHANGE OF MAILING ADDRESS 2010-05-03 1500 E. HILLSBORO BLVD., 204, DEERFIELD BEACH, FL 33441 No data
REGISTERED AGENT NAME CHANGED 2010-05-03 BADER, ROBERT SMD No data
REGISTERED AGENT ADDRESS CHANGED 2010-05-03 1500 E. HILLSBORO BLVD, 204, DEERFIELD BEACH, FL 33441 No data

Documents

Name Date
ANNUAL REPORT 2024-07-14
ANNUAL REPORT 2023-04-08
ANNUAL REPORT 2022-03-19
ANNUAL REPORT 2021-03-14
ANNUAL REPORT 2020-02-20
ANNUAL REPORT 2019-02-14
ANNUAL REPORT 2018-03-06
ANNUAL REPORT 2017-02-02
ANNUAL REPORT 2016-02-10
ANNUAL REPORT 2015-02-20

Related by officers

BADER ROBERT S

MARS REALTY HOLDINGS, LLC RSB MANAGEMENT COMPANY INC FLORIDA MEDICAL AFFILIATES, INC. AMERICAN DERMPATH SPECIALISTS, INC.

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 flprofile.com, Part of Big Data Integrated