| Entity Name: | BOYNTON BEACH REAL ESTATE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 11 Mar 2003 (22 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 02 Oct 2014 (10 years ago) |
| Document Number: | L03000008803 |
| FEI/EIN Number | 86-1052643 |
| Address: | 1419 SE 8th Terrace, Cape Coral, FL, 33990, US |
| Mail Address: | 1419 SE 8th Terrace, Cape Coral, FL, 33990, US |
| ZIP code: | 33990 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831292465 | 2006-09-07 | 2020-08-22 | 2301 WEST WOOLBRIGHT RD, BOYNTON BEACH, FL, 33426, US | 2301 WEST WOOLBRIGHT RD, BOYNTON BEACH, FL, 33426, US | |||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||
| Phone | +1 561-737-2339 |
| Fax | 5617372521 |
Authorized person
| Name | KISHORE K DASS |
| Role | MEDICAL DIRECTOR |
| Phone | 5617372339 |
Taxonomy
| Taxonomy Code | 2085R0001X - Radiation Oncology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS DR HAN |
| Number | 17106 |
| Issuer | BCBS DR DASS |
| Number | 23468 |
| Issuer | BCBS DR SHERRY |
| Number | 61186X |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DRS DASS & HAN 401KSAFE HARBOR PS PLAN | 2009 | 861052643 | 2010-10-06 | BOYNTON BEACH REAL ESTATE LLC | 17 | |||||||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||||||||
| Administrator’s EIN | 861052643 |
| Plan administrator’s name | BOYNTON BEACH REAL ESTATE LLC |
| Plan administrator’s address | 2301 WEST WOOLDBRIGHT ROAD, BOYNTON BEACH, FL, 33426 |
| Administrator’s telephone number | 5617372339 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-06 |
| Name of individual signing | KISHORE DASS |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2010-10-06 |
| Name of individual signing | KISHORE DASS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| Marzouk Shaden MD | Manager | 1419 SE 8th Terrace, Cape Coral, FL, 33990 |
| Name | Role | Address |
|---|---|---|
| Seal Jack | Secretary | 1419 SE 8th Terrace, Cape Coral, FL, 33990 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G09000146551 | CYBERKNIFE CENTER OF SOUTH FLORIDA IN STUART | EXPIRED | 2009-08-17 | 2014-12-31 | No data | 2111 S.E. OCEAN BLVD., STUART, FL, 34996 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-24 | 1419 SE 8th Terrace, Suite 200, Cape Coral, FL 33990 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-24 | 1419 SE 8th Terrace, Suite 200, Cape Coral, FL 33990 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-10-02 | 1201 HAYS STREET, TALLAHASSEE, FL 32301-2525 | No data |
| REGISTERED AGENT NAME CHANGED | 2014-10-02 | CORPORATION SERVICE COMPANY | No data |
| LC STMNT OF RA/RO CHG | 2014-10-02 | No data | No data |
| LC AMENDMENT | 2010-07-27 | No data | No data |
| AMENDMENT | 2005-02-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-24 |
| ANNUAL REPORT | 2023-03-03 |
| ANNUAL REPORT | 2022-04-21 |
| ANNUAL REPORT | 2021-04-19 |
| ANNUAL REPORT | 2020-01-20 |
| AMENDED ANNUAL REPORT | 2019-07-15 |
| ANNUAL REPORT | 2019-01-02 |
| ANNUAL REPORT | 2018-04-24 |
| ANNUAL REPORT | 2017-01-05 |
| ANNUAL REPORT | 2016-04-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
