| Entity Name: | DIVERSE MEDICAL CARE, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 26 Jan 2011 (14 years ago) |
| Date of dissolution: | 29 Apr 2024 (10 months ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 29 Apr 2024 (10 months ago) |
| Document Number: | L11000011109 |
| FEI/EIN Number | 27-4534941 |
| Address: | 1200 South Federal Hwy, SUITE 302, Boynton Beach, FL 33435 |
| Mail Address: | 1200 South Federal Hwy, SUITE 302, Boynton Beach, FL 33435 |
| ZIP code: | 33435 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639434038 | 2012-07-11 | 2012-07-12 | 4215 S FLAGLER DR, WEST PALM BEACH, FL, 334052705, US | 2310 SE 2ND ST, SUITE #2, BOYNTON BEACH, FL, 334357280, US | |||||||||||||||||||
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| Phone | +1 561-509-9382 |
| Fax | 5615099362 |
Authorized person
| Name | MARY N ATALLA |
| Role | MANAGER |
| Phone | 5615099382 |
Taxonomy
| Taxonomy Code | 208VP0000X - Pain Medicine Physician |
| License Number | PMC 1223 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MAKI, SARI M | Agent | 17084 Teton River Road, Boca Raton, FL 33496 |
| Name | Role | Address |
|---|---|---|
| MAKI, SARI M | Authorized Member | 17084 Teton River Road, Boca Raton, FL 33496 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000013856 | 45TH STREET MEDICAL | EXPIRED | 2011-02-04 | 2016-12-31 | No data | 2310 SE 2ND AVE, SUITE 2, BOYNTON BEACH, FL, 33435 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-04-29 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-15 | 17084 Teton River Road, Boca Raton, FL 33496 | No data |
| LC AMENDMENT | 2015-08-24 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-08-24 | MAKI, SARI M | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-07-03 | 1200 South Federal Hwy, SUITE 302, Boynton Beach, FL 33435 | No data |
| CHANGE OF MAILING ADDRESS | 2015-07-03 | 1200 South Federal Hwy, SUITE 302, Boynton Beach, FL 33435 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-04-29 |
| ANNUAL REPORT | 2023-03-15 |
| ANNUAL REPORT | 2022-03-24 |
| ANNUAL REPORT | 2021-02-05 |
| ANNUAL REPORT | 2020-05-14 |
| ANNUAL REPORT | 2019-04-27 |
| ANNUAL REPORT | 2018-02-01 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-02-01 |
| LC Amendment | 2015-08-24 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5440437709 | 2020-05-01 | 0455 | PPP | 2310 SE 2ND ST STE 2, BOYNTON BEACH, FL, 33435-7280 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 7449078503 | 2021-03-06 | 0455 | PPS | 2310 SE 2nd St Ste 2, Boynton Beach, FL, 33435-7280 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 23 Feb 2025
Sources: Florida Department of State
