| Entity Name: | BOUTWELL MEDICAL ASSOCIATES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
BOUTWELL MEDICAL ASSOCIATES, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 12 Mar 2008 (17 years ago) |
| Date of dissolution: | 24 Sep 2021 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (4 years ago) |
| Document Number: | L08000026240 |
| FEI/EIN Number |
NOT APPLICABLE
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2328 10th Ave N, Suite 300-301, LAKE WORTH BEACH, FL, 33461, US |
| Mail Address: | 2328 10th Ave N, Suite 300-301, LAKE WORTH BEACH, FL, 33461, US |
| ZIP code: | 33461 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619121340 | 2008-11-07 | 2011-01-31 | PO BOX 7240, JUPITER, FL, 334687240, US | 3185 BOUTWELL RD, LAKE WORTH, FL, 334612610, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 561-748-2889 |
| Fax | 5617481523 |
| Phone | +1 561-533-0074 |
Authorized person
| Name | MORGAN PONCY |
| Role | MEDICAL DIRECTOR |
| Phone | 5617482889 |
Taxonomy
| Taxonomy Code | 207RA0401X - Addiction Medicine (Internal Medicine) Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DORAN TIMOTHY | Manager | 2328 10th Ave, LAKE WORTH BEACH, FL, 33461 |
| NASON NATHAN E | Agent | 3001 PGA BLVD., PALM BEACH GARDENS, FL, 33410 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2020-03-12 | 2328 10th Ave N, Suite 300-301, LAKE WORTH BEACH, FL 33461 | - |
| CHANGE OF MAILING ADDRESS | 2020-03-12 | 2328 10th Ave N, Suite 300-301, LAKE WORTH BEACH, FL 33461 | - |
| REGISTERED AGENT NAME CHANGED | 2019-01-08 | NASON, NATHAN E | - |
| REGISTERED AGENT ADDRESS CHANGED | 2018-02-13 | 3001 PGA BLVD., #305, PALM BEACH GARDENS, FL 33410 | - |
| LC AMENDMENT | 2012-03-15 | - | - |
| REINSTATEMENT | 2011-10-12 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-03-12 |
| ANNUAL REPORT | 2019-01-08 |
| ANNUAL REPORT | 2018-02-13 |
| ANNUAL REPORT | 2017-01-26 |
| ANNUAL REPORT | 2016-03-28 |
| ANNUAL REPORT | 2015-04-03 |
| ANNUAL REPORT | 2014-04-18 |
| ANNUAL REPORT | 2013-04-25 |
| ANNUAL REPORT | 2012-04-26 |
| LC Amendment | 2012-03-15 |
Date of last update: 01 May 2025
Sources: Florida Department of State
