| Entity Name: | WALK-IN FAMILY MEDICINE CENTER OF BOYNTON BEACH INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 08 Apr 1983 (42 years ago) |
| Document Number: | G32345 |
| FEI/EIN Number | 592287763 |
| Address: | 3795 W. BOYNTON BCH BLVD, BOYNTON BEACH, FL, 33436, US |
| Mail Address: | 3795 W. BOYNTON BCH BLVD., BOYNTON BEACH, FL, 33436, US |
| ZIP code: | 33436 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467630038 | 2008-02-06 | 2022-07-21 | 3795 W BOYNTON BEACH BLVD, SUITE D, BOYNTON BEACH, FL, 334364502, US | 3795 W BOYNTON BEACH BLVD, SUITE D, BOYNTON BEACH, FL, 334364502, US | |||||||||||||||||
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| Phone | +1 561-736-2000 |
| Fax | 5617400771 |
Authorized person
| Name | DR. MARK B FREEMAN |
| Role | MEDICAL DIRECTOR |
| Phone | 5617362000 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FREEMAN MARK | Agent | 3795 W. BOYNTON BEACH BLVD., BOYNTON BEACH, FL, 33436 |
| Name | Role | Address |
|---|---|---|
| FREEMAN TAMSIN | President | 3795 BOYNTON BEACH BLVD, BOYNTON, FL, 33436 |
| Name | Role | Address |
|---|---|---|
| FREEMAN TAMSIN | Secretary | 3795 BOYNTON BEACH BLVD, BOYNTON, FL, 33436 |
| Name | Role | Address |
|---|---|---|
| FREEMAN TAMSIN | Treasurer | 3795 BOYNTON BEACH BLVD, BOYNTON, FL, 33436 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| AMENDMENT | 2020-10-09 | No data | No data |
| CORPORATE MERGER | 1994-06-29 | No data | CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. CORPORATE MERGER NUMBER 500000004255 |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
