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CAMBRIDGE MEDICAL GROUP OF WEST BOYNTON, LLC - Florida Company Profile

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Company Details

Entity Name: CAMBRIDGE MEDICAL GROUP OF WEST BOYNTON, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 17 Jun 2009 (16 years ago)
Last Event: CONVERSION
Event Date Filed: 17 Jun 2009 (16 years ago)
Document Number: L09000059682
FEI/EIN Number 270163856
Address: 10817 SOUTH JOG RD STE 230, BOYNTON BEACH, FL, 33437
Mail Address: 10817 SOUTH JOG RD STE 230, BOYNTON BEACH, FL, 33437
ZIP code: 33437
City: Boynton Beach
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
PERELMAN MITCHELL A Manager 10817 SOUTH JOG RD STE 230, BOYNTON BEACH, FL, 33427
LUCIBELLA RICHARD J Agent 10817 SOUTH JOG RD STE 230, BOYNTON BEACH, FL, 33437
LAVERNIA IVAN Manager 10817 SOUTH JOG RD STE 230, BOYNTON BEACH, FL, 33437
PEREZ MESA FRANCISCO Manager 10817 SOUTH JOG RD STE 230, BOYNTON BEACH, FL, 33437
LUCIBELLA RICHARD J Manager 10817 SOUTH JOG RD STE 230, BOYNTON BEACH, FL, 33437

National Provider Identifier

NPI Number:
1669607636
Certification Date:
2025-02-27

Authorized Person:

Name:
RICHARD LUCIBELLA
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G09000128556 CAMBRIDGE MEDICAL GROUP EXPIRED 2009-06-29 2014-12-31 - 5011 N OCEAN BLVD, SUITE 5, OCEAN RIDGE, FL, 33535

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2010-07-07 10817 SOUTH JOG RD STE 230, BOYNTON BEACH, FL 33437 -
CHANGE OF MAILING ADDRESS 2010-07-07 10817 SOUTH JOG RD STE 230, BOYNTON BEACH, FL 33437 -
REGISTERED AGENT ADDRESS CHANGED 2010-07-07 10817 SOUTH JOG RD STE 230, BOYNTON BEACH, FL 33437 -
CONVERSION 2009-06-17 - CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS P09000028197. CONVERSION NUMBER 700000097557

Documents

Name Date
ANNUAL REPORT 2024-03-04
ANNUAL REPORT 2023-01-31
ANNUAL REPORT 2022-01-31
ANNUAL REPORT 2021-02-01
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-02-13
ANNUAL REPORT 2018-01-14
ANNUAL REPORT 2017-01-10
ANNUAL REPORT 2016-01-23
ANNUAL REPORT 2015-01-12

Paycheck Protection Program

Jobs Reported:
17
Initial Approval Amount:
$236,100
Date Approved:
2020-04-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$236,100
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$238,428.21
Servicing Lender:
Truist Bank
Use of Proceeds:
Payroll: $236,100

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Date of last update: 01 Aug 2025

Sources: Florida Department of State