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Total Skin & Beauty Dermatology Center, P.C.

Details

Name: Total Skin & Beauty Dermatology Center, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 03 Jan 1979 (46 years ago)
Entity Number: 000-054-735
Register Number: 000054735
Historical Names: Gary D. Monheit, M.D., P.C.
County: Jefferson
Place of Formation: Jefferson County
Principal Address: BIRMINGHAM, AL
Registered Office Street Address: 1927 FIRST AVENUE NORTH, SUITE 200BIRMINGHAM, AL 35203
Registered Office Street Address ZIP Code: 35203
Authorized Capital: $10,000
Paid Share Capital: $1,000

Activities MEDICAL

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1831296888 2006-09-20 2024-01-22 2100 16TH AVE S, SUITE 202, BIRMINGHAM, AL, 352055021, US 1927 1ST AVE N STE 200, BIRMINGHAM, AL, 352034050, US

Contacts
Phone +1 205-933-0987
Fax 2059301758

Authorized person
Name CHANDRA BELLE RODIVICH
Role CREDENTIALING SECRETARY
Phone 2053806117

Taxonomy
Taxonomy Code 207N00000X - Dermatology Physician
Is Primary No
Taxonomy Code 363A00000X - Physician Assistant
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TOTAL SKIN & BEAUTY DERMATOLOGY CENTER, P.C. 401(K) PROFIT SHARING PLAN 2023 640619329 2024-10-14 TOTAL SKIN & BEAUTY DERMATOLOGY CENTER P.C. 105
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-01-31
Business code 621111
Sponsor’s telephone number 2059330987
Plan sponsor’s address 1927 1ST AVENUE NORTH, SUITE 200, BIRMINGHAM, AL, 352034050
TOTAL SKIN & BEAUTY DERMATOLOGY CENTER, P.C. 401(K) PROFIT SHARING PLAN 2022 640619329 2023-08-14 TOTAL SKIN & BEAUTY DERMATOLOGY CENTER P.C. 118
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-01-31
Business code 621111
Sponsor’s telephone number 2059330987
Plan sponsor’s address 2100 16TH AVENUE SOUTH, SUITE 202, BIRMINGHAM, AL, 352055067
TOTAL SKIN & BEAUTY DERMATOLOGY CENTER, P.C. 401(K) PROFIT SHARING PLAN 2021 640619329 2022-09-02 TOTAL SKIN & BEAUTY DERMATOLOGY CENTER P.C. 109
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-01-31
Business code 621111
Sponsor’s telephone number 2059330987
Plan sponsor’s address 2100 16TH AVENUE SOUTH, SUITE 202, BIRMINGHAM, AL, 352055067
TOTAL SKIN & BEAUTY DERMATOLOGY CENTER, P. C. 2021 640619329 2022-10-20 TOTAL SKIN & BEAUTY DERMATOLOGY CENTER P. C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2059330987
Plan sponsor’s address 2100 16TH AVENUE SOUTH STE 202, BIRMINGHAM, AL, 352055067
TOTAL SKIN & BEAUTY DERMATOLOGY CENTER, P. C. CASH BALANCE PLAN 2021 640619329 2022-09-02 TOTAL SKIN & BEAUTY DERMATOLOGY CENTER P. C. 82
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2059330987
Plan sponsor’s address 2100 16TH AVENUE SOUTH STE 202, BIRMINGHAM, AL, 352055067
TOTAL SKIN & BEAUTY DERMATOLOGY CENTER, P.C. 401(K) PROFIT SHARING PLAN 2020 640619329 2021-10-14 TOTAL SKIN & BEAUTY DERMATOLOGY CENTER P.C. 104
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-01-31
Business code 621111
Sponsor’s telephone number 2059330987
Plan sponsor’s address 2100 16TH AVENUE SOUTH, SUITE 202, BIRMINGHAM, AL, 352055067
TOTAL SKIN & BEAUTY DERMATOLOGY CENTER, P. C. CASH BALANCE PLAN 2020 640619329 2022-09-01 TOTAL SKIN & BEAUTY DERMATOLOGY CENTER P. C. 84
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2059330987
Plan sponsor’s address 2100 16TH AVENUE SOUTH STE 202, BIRMINGHAM, AL, 352055067
TOTAL SKIN & BEAUTY DERMATOLOGY CENTER, P. C. CASH BALANCE PLAN 2020 640619329 2021-10-13 TOTAL SKIN & BEAUTY DERMATOLOGY CENTER P. C. 84
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2059330987
Plan sponsor’s address 2100 16TH AVENUE SOUTH STE 202, BIRMINGHAM, AL, 352055067
TOTAL SKIN & BEAUTY DERMATOLOGY CENTER, P.C. 401(K) PROFIT SHARING PLAN 2019 640619329 2020-10-15 TOTAL SKIN & BEAUTY DERMATOLOGY CENTER P.C. 100
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-01-31
Business code 621111
Sponsor’s telephone number 2059330987
Plan sponsor’s address 2100 16TH AVENUE SOUTH, SUITE 202, BIRMINGHAM, AL, 352055067
TOTAL SKIN & BEAUTY DERMATOLOGY CENTER, P. C. CASH BALANCE PLAN 2019 640619329 2020-10-15 TOTAL SKIN & BEAUTY DERMATOLOGY CENTER P. C. 80
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2059330987
Plan sponsor’s address 2100 16TH AVENUE SOUTH STE 202, BIRMINGHAM, AL, 352055067

Agent

Name Role
JAMES KRELL, M.D. Agent

Incorporator

Name Role Address
MONHEIT, GARY D Incorporator 2100 16TH AVENUE SOUTH STE 202BIRMINGHAM, AL 35205

Events

Event Date Event Type Old Value New Value
2005-01-26 Name Change Gary D. Monheit, M.D., P.C. Total Skin & Beauty Dermatology Center, P.C.

Related by officers

MONHEIT, GARY D

Total Skin and Beauty Realty, LLC Total Skin & Beauty Pharmacy, LLC

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Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State

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