| Entity Name: | WEST BOCA EKG READERS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 30 Jun 2003 (22 years ago) |
| Date of dissolution: | 05 Nov 2024 (3 months ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 05 Nov 2024 (3 months ago) |
| Document Number: | L03000023727 |
| FEI/EIN Number | 200065641 |
| Address: | 21644 STATE ROAD 7, EKG READERS PANEL, BOCA RATON, FL, 33428, US |
| Mail Address: | 9980 CENTRAL PARK BLVD N, STE 304, BOCA RATON, FL, 33428, US |
| ZIP code: | 33428 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356359913 | 2006-08-03 | 2014-03-21 | PO BOX 919303, ORLANDO, FL, 328919303, US | 21644 STATE ROAD 7, - EKG READERS PANEL, BOCA RATON, FL, 334281842, US | |||||||||||||||||||
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| Phone | +1 954-726-1808 |
| Fax | 9547261820 |
Authorized person
| Name | DR. DAVID S FUNT |
| Role | ADMINISTRATOR |
| Phone | 5614838335 |
Taxonomy
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS/BLUE SHIELD |
| Number | 34969 |
| Name | Role | Address |
|---|---|---|
| Coletti Steven MD | Agent | 9980 CENTRAL PARK BLVD N, BOCA RATON, FL, 33428 |
| Name | Role | Address |
|---|---|---|
| Gabor Ronald MD | Auth | 9980 CENTRAL PARK BLVD N, BOCA RATON, FL, 33428 |
| Fields Constance MD | Auth | 9980 CENTRAL PARK BLVD N, BOCA RATON, FL, 33428 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-11-05 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2024-02-29 | Coletti, Steven, MD | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-08-28 | 9980 CENTRAL PARK BLVD N, STE 304, BOCA RATON, FL 33428 | No data |
| CHANGE OF MAILING ADDRESS | 2012-04-07 | 21644 STATE ROAD 7, EKG READERS PANEL, BOCA RATON, FL 33428 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-04-14 | 21644 STATE ROAD 7, EKG READERS PANEL, BOCA RATON, FL 33428 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-11-05 |
| ANNUAL REPORT | 2024-02-29 |
| AMENDED ANNUAL REPORT | 2023-08-28 |
| ANNUAL REPORT | 2023-01-27 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-01-10 |
| ANNUAL REPORT | 2020-03-07 |
| ANNUAL REPORT | 2019-02-06 |
| ANNUAL REPORT | 2018-03-13 |
| ANNUAL REPORT | 2017-01-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
