| Entity Name: | BOCA RATON ORTHOPEDIC ASSOCIATES, PL |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 29 Jun 2000 (25 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 27 Dec 2006 (18 years ago) |
| Document Number: | L00000007716 |
| FEI/EIN Number | 651023972 |
| Address: | 1905 CLINT MOORE RD., SUITE 214, BOCA RATON, FL, 33496, US |
| Mail Address: | 1905 CLINT MOORE RD, SUITE 214, BOCA RATON, FL, 33496, US |
| ZIP code: | 33496 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285734418 | 2006-09-25 | 2008-08-04 | 1905 CLINT MOORE RD, SUITE 214, BOCA RATON, FL, 334962658, US | 1905 CLINT MOORE RD, SUITE 214, BOCA RATON, FL, 334962658, US | |||||||||||||||||||||
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| Phone | +1 561-241-8668 |
| Fax | 5619129556 |
Authorized person
| Name | MARC BERGMAN |
| Role | PRESIDENT |
| Phone | 5612418668 |
Taxonomy
| Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | BS38459 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Hahn Jeffrey | Agent | 6853 SW 18th St., BOCA RATON, FL, 33433 |
| Name | Role | Address |
|---|---|---|
| Marc Bergman MD, P.A. | Manager | 1905 CLINT MOORE RD., #214, BOCA RATON, FL, 33496 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000096442 | BOCA RATON ORTHOPAEDICS AND SPORTS MEDICINE | EXPIRED | 2016-09-06 | 2021-12-31 | No data | 1905 CLINT MOORE ROAD, SUITE 214, BOCA RATON, FL, 33496 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2020-02-20 | Hahn, Jeffrey | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-03-16 | 6853 SW 18th St., Suite M-320, BOCA RATON, FL 33433 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-01-22 | 1905 CLINT MOORE RD., SUITE 214, BOCA RATON, FL 33496 | No data |
| CHANGE OF MAILING ADDRESS | 2013-01-22 | 1905 CLINT MOORE RD., SUITE 214, BOCA RATON, FL 33496 | No data |
| LC NAME CHANGE | 2006-12-27 | BOCA RATON ORTHOPEDIC ASSOCIATES, PL | No data |
| NAME CHANGE AMENDMENT | 2003-12-22 | DRS. BERGMAN & YOUNG, P.L. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-01-27 |
| ANNUAL REPORT | 2022-02-03 |
| ANNUAL REPORT | 2021-02-22 |
| ANNUAL REPORT | 2020-02-20 |
| ANNUAL REPORT | 2019-03-16 |
| ANNUAL REPORT | 2018-02-22 |
| ANNUAL REPORT | 2017-02-04 |
| ANNUAL REPORT | 2016-01-27 |
| ANNUAL REPORT | 2015-02-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
