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Sobera Dermatology Group, P.C.

Details

Name: Sobera Dermatology Group, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 16 Apr 2008 (17 years ago)
Entity Number: 000-257-017
Register Number: 000257017
County: Jefferson
Place of Formation: Jefferson County
Principal Address: BIRMINGHAM, AL
Registered Office Street Address: 2901 CAHABA RDBIRMINGHAM, AL 35223
Registered Office Street Address ZIP Code: 35223
Authorized Capital: $5,000

Activities MEDICAL PRACTICE (DERMETOLOGY)

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1548437973 2008-05-14 2015-01-13 2900 CAHABA RD, MOUNTAIN BRK, AL, 352231937, US 2900 CAHABA RD, MOUNTAIN BRK, AL, 352231937, US

Contacts

Phone +1 205-877-9773

Authorized person

Name JENNY SOBERA
Role PRESIDENT
Phone 2058779773

Taxonomy

Taxonomy Code 207N00000X - Dermatology Physician
License Number 24170
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
VILLAGE DERMATOLOGY 401K PROFIT SHARING PLAN 2022 262427891 2023-09-13 SOBERA DERMATOLOGY GROUP, P.C. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2055724901
Plan sponsor’s address 2900 CAHABA ROAD, BIMINGHAM, AL, 35223

Signature of

Role Plan administrator
Date 2023-09-13
Name of individual signing AUDREY EASTWOOD
VILLAGE DERMATOLOGY 401(K) PROFIT SHARING PLAN 2022 262427891 2023-09-07 SOBERA DERMATOLOGY GROUP, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2058779773
Plan sponsor’s address 2900 CAHABA ROAD, BIRMINGHAM, AL, 352231901

Signature of

Role Plan administrator
Date 2023-09-07
Name of individual signing AUDREY EASTERWOOD
VILLAGE DERMATOLOGY 401(K) PROFIT SHARING PLAN 2021 262427891 2022-08-25 SOBERA DERMATOLOGY GROUP, P.C. 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2058779773
Plan sponsor’s address 2900 CAHABA ROAD, BIRMINGHAM, AL, 352231901

Signature of

Role Plan administrator
Date 2022-08-25
Name of individual signing AUDREY EASTERWOOD
VILLAGE DERMATOLOGY 401(K) PROFIT SHARING PLAN 2020 262427891 2021-04-26 SOBERA DERMATOLOGY GROUP, P.C. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2058779773
Plan sponsor’s address 2900 CAHABA ROAD, BIRMINGHAM, AL, 352231901

Signature of

Role Plan administrator
Date 2021-04-26
Name of individual signing AUDREY EASTERWOOD
VILLAGE DERMATOLOGY 401(K) PROFIT SHARING PLAN 2019 262427891 2020-09-23 SOBERA DERMATOLOGY GROUP, P.C. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2058779773
Plan sponsor’s address 2900 CAHABA ROAD, BIRMINGHAM, AL, 352231901

Signature of

Role Plan administrator
Date 2020-09-23
Name of individual signing AUDREY EASTERWOOD
VILLAGE DERMATOLOGY 401(K) PROFIT SHARING PLAN 2018 262427891 2019-07-29 SOBERA DERMATOLOGY GROUP, P.C. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2058779773
Plan sponsor’s address 2900 CAHABA ROAD, BIRMINGHAM, AL, 352231901

Signature of

Role Plan administrator
Date 2019-07-29
Name of individual signing AUDREY EASTERWOOD
VILLAGE DERMATOLOGY 401(K) PROFIT SHARING PLAN 2017 262427891 2018-06-21 SOBERA DERMATOLOGY GROUP, P.C. 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2058779773
Plan sponsor’s address 2900 CAHABA ROAD, BIRMINGHAM, AL, 352231901
VILLAGE DERMATOLOGY 401(K) PROFIT SHARING PLAN 2016 262427891 2017-05-30 SOBERA DERMATOLOGY GROUP, P.C. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2058779773
Plan sponsor’s address 2900 CAHABA ROAD, BIRMINGHAM, AL, 352231901
VILLAGE DERMATOLOGY GROUP, P.C. 401K PROFIT SHARING PLAN 2015 262427891 2016-10-17 SOBERA DERMATOLOGY GROUP, P.C. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Sponsor’s telephone number 2058779773
Plan sponsor’s DBA name VILLAGE DERMATOLOGY
Plan sponsor’s address 2900 CAHABA ROAD, BIRMINGHAM, AL, 352231901
VILLAGE DERMATOLOGY 401(K) PROFIT SHARING PLAN 2012 262427891 2013-07-31 SOBERA DERMATOLOGY GROUP, P.C. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2058779773
Plan sponsor’s address 2901 CAHABA ROAD, BIRMINGHAM, AL, 352231901

Signature of

Role Plan administrator
Date 2013-07-31
Name of individual signing JENNY SOBERA

Incorporator

Name Role
SOBERA, JENNY O Incorporator

Agent

Name Role
SOBERA, JENNY O Agent

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State