| Entity Name: | FAMILY MEDICINE OF BOCA RATON ASSOCIATES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 10 Jul 2007 (18 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L07000071460 |
| FEI/EIN Number | 260504515 |
| Address: | 5458 TOWN CENTER ROAD, BOCA RATON, FL, 33486, US |
| Mail Address: | 5458 TOWN CENTER ROAD, SUITE 21, BOCA RATON, FL, 33486, US |
| ZIP code: | 33486 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568523652 | 2006-12-12 | 2010-06-24 | 5458 TOWN CENTER RD STE 21, BOCA RATON, FL, 334861009, US | 5458 TOWN CENTER RD STE 21, BOCA RATON, FL, 334861009, US | |||||||||||||||
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| Phone | +1 561-750-7300 |
| Fax | 5617508918 |
Authorized person
| Name | MRS. LAUREEN M FLECK |
| Role | CEO |
| Phone | 5617507300 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TASSIOPOULOS ILIAS | Agent | 10821 NW 29th Ct, Suinrise, FL, 33322 |
| Name | Role | Address |
|---|---|---|
| MAZZEI WILLIAM Dr. | Manager | 242 NW 64 STR, BOCA RATON, FL, 33487 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000083580 | MD HEALTHCARE BOCA | ACTIVE | 2022-07-14 | 2027-12-31 | No data | 5458 TOWN CENTER ROAD, SUITE 21, BOCA RATON, FL, 33486 |
| G21000096524 | MD HEALTHCARE BOCA RATON | ACTIVE | 2021-07-23 | 2026-12-31 | No data | 304 INDIAN TRACE, SUITE 636, WESTON, FL, 33326 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2022-06-20 | TASSIOPOULOS, ILIAS | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-05-25 | 5458 TOWN CENTER ROAD, BOCA RATON, FL 33486 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-03-06 | 10821 NW 29th Ct, Suinrise, FL 33322 | No data |
| REINSTATEMENT | 2017-09-30 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2022-06-20 |
| ANNUAL REPORT | 2022-04-30 |
| AMENDED ANNUAL REPORT | 2021-03-22 |
| ANNUAL REPORT | 2021-03-06 |
| ANNUAL REPORT | 2020-06-30 |
| AMENDED ANNUAL REPORT | 2019-11-19 |
| ANNUAL REPORT | 2019-06-13 |
| ANNUAL REPORT | 2018-04-24 |
| REINSTATEMENT | 2017-09-30 |
| ANNUAL REPORT | 2016-04-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
