| Entity Name: | PHYSICIANS MEDICAL ASSOCIATES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 26 Jan 2009 (16 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | L09000007745 |
| FEI/EIN Number | 26-4137567 |
| Address: | 4905 LANTANA ROAD, LAKE WORTH, FL 33463 |
| Mail Address: | P.O. BOX 542318, GREENACRES, FL 33454-2318 |
| ZIP code: | 33463 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073748695 | 2009-05-27 | 2011-09-22 | PO BOX 542318, GREENACRES, FL, 334542318, US | 4905 LANTANA RD, LAKE WORTH, FL, 334636915, US | |||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 954-587-7771 |
| Fax | 9542085770 |
Authorized person
| Name | MR. BILL RUSSELL |
| Role | CEO |
| Phone | 9545877771 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | No |
| Taxonomy Code | 103TB0200X - Cognitive & Behavioral Psychologist |
| Is Primary | No |
| Taxonomy Code | 103TP2701X - Group Psychotherapy Psychologist |
| License Number | ME57901 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | No |
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | No |
| Taxonomy Code | 133V00000X - Registered Dietitian |
| Is Primary | No |
| Taxonomy Code | 171100000X - Acupuncturist |
| Is Primary | No |
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | No |
| Taxonomy Code | 225700000X - Massage Therapist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| FOSTER, ANTHONY G | Agent | 4905 LANTANA ROAD, LAKE WORTH, FL 33463 |
| Name | Role |
|---|---|
| THE TREATMENT CENTER OF THE PALM BEACHES, LLC | Managing Member |
| Name | Role | Address |
|---|---|---|
| CHERNAK, KATHLEEN D | PRESIDENT | 9556 PARKVIEW AVENUE, BOCA RATON, FL 33428 |
| Name | Role | Address |
|---|---|---|
| CHERNAK, KATHLEEN D | Chief Executive Officer | 9556 PARKVIEW AVENUE, BOCA RATON, FL 33428 |
| Name | Role | Address |
|---|---|---|
| Foster, Anthony G., Phd | Chief Operating Officer | 6564 TIMBER LANE, BOCA RATON, FL 33433 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000043978 | RECOVERY MEDICAL ASSOCIATES | EXPIRED | 2015-05-01 | 2020-12-31 | No data | P.O. BOX 542318, GREENACRES, FL, 33454 |
| G11000068214 | ALCOHOLISM AND DRUG DETOX HELP | EXPIRED | 2011-07-07 | 2016-12-31 | No data | 4550 LANTANA ROAD, #A4, LAKE WORTH, FL, 33463 |
| G11000068219 | CHRISTIAN ALCOHOL AND DRUG REHAB HELP | EXPIRED | 2011-07-07 | 2016-12-31 | No data | 4550 LANTANA ROAD, #A4, LAKE WORTH, FL, 33463 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-05-01 | FOSTER, ANTHONY G | No data |
| CHANGE OF MAILING ADDRESS | 2010-01-19 | 4905 LANTANA ROAD, LAKE WORTH, FL 33463 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-01-19 |
| ANNUAL REPORT | 2017-05-01 |
| ANNUAL REPORT | 2016-04-14 |
| ANNUAL REPORT | 2015-04-30 |
| ANNUAL REPORT | 2014-03-20 |
| ANNUAL REPORT | 2013-01-10 |
| ANNUAL REPORT | 2012-03-20 |
| ANNUAL REPORT | 2011-04-19 |
| ANNUAL REPORT | 2010-01-19 |
| Florida Limited Liability | 2009-01-26 |
Date of last update: 26 Jan 2025
Sources: Florida Department of State
