Search icon

BOYNTON BEACH MEDICAL GROUP, INC.

Company Details

Entity Name: BOYNTON BEACH MEDICAL GROUP, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 10 May 1989 (36 years ago)
Date of dissolution: 23 Sep 2011 (13 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2011 (13 years ago)
Document Number: K87109
FEI/EIN Number 65-0124897
Address: 566 SE 15TH AVENUE, BOYNTON BEACH, FL 33435
Mail Address: 566 SE 15TH AVENUE, BOYNTON BEACH, FL 33435
ZIP code: 33435
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1174730337 2007-05-17 2007-08-16 566 E WOOLBRIGHT RD, BOYNTON BEACH, FL, 334356033, US 566 E WOOLBRIGHT RD, BOYNTON BEACH, FL, 334356033, US

Contacts

Phone +1 561-369-4255
Fax 5613693254

Authorized person

Name MR. ERIC BUCHWALD
Role PRESIDENT
Phone 5613694255

Taxonomy

Taxonomy Code 261QM2500X - Medical Specialty Clinic/Center
Is Primary Yes

Agent

Name Role Address
BUCHWALD, ERIC Agent 566 SE 15TH AVENUE, BOYNTON BEACH, FL 33435

President

Name Role Address
BUCHWALD, ERIC President 566 SE 15TH AVE, BOYNTON BEACH, FL 33435

Secretary

Name Role Address
BUCHWALD, ERIC Secretary 566 SE 15TH AVE, BOYNTON BEACH, FL 33435

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2011-09-23 No data No data
CHANGE OF PRINCIPAL ADDRESS 2001-05-10 566 SE 15TH AVENUE, BOYNTON BEACH, FL 33435 No data
CHANGE OF MAILING ADDRESS 2001-05-10 566 SE 15TH AVENUE, BOYNTON BEACH, FL 33435 No data
REGISTERED AGENT ADDRESS CHANGED 2001-05-10 566 SE 15TH AVENUE, BOYNTON BEACH, FL 33435 No data

Documents

Name Date
ANNUAL REPORT 2010-05-04
ANNUAL REPORT 2009-04-29
ANNUAL REPORT 2008-04-22
ANNUAL REPORT 2007-04-10
ANNUAL REPORT 2006-05-29
ANNUAL REPORT 2005-05-02
ANNUAL REPORT 2004-04-06
ANNUAL REPORT 2003-04-21
ANNUAL REPORT 2002-04-29
ANNUAL REPORT 2001-05-10

Date of last update: 03 Feb 2025

Sources: Florida Department of State