| Entity Name: | PHYSICIANS GROUP OF BOCA RATON, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 25 May 2012 (13 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | L12000071286 |
| FEI/EIN Number | 45-5061324 |
| Address: | 7000 N FEDERAL HIGHWAY, BOCA RATON, FL, 33487-1644, US |
| Mail Address: | 7000 N FEDERAL HIGHWAY, BOCA RATON, FL, 33487-1644, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770841959 | 2012-04-25 | 2016-04-11 | 7000 N. FEDERAL HWY., 1ST FLOOR, BOCA RATON, FL, 33487, US | 7000 N FEDERAL HWY, 1ST FLOOR, BOCA RATON, FL, 334871644, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 561-409-2224 |
| Fax | 5617569483 |
Authorized person
| Name | MRS. ALANA MANKO |
| Role | VICE PRESIDENT |
| Phone | 5614092224 |
Taxonomy
| Taxonomy Code | 103TA0400X - Addiction (Substance Use Disorder) Psychologist |
| Is Primary | No |
| Taxonomy Code | 103TP2701X - Group Psychotherapy Psychologist |
| Is Primary | No |
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| License Number | 10D2044371 |
| State | FL |
| Is Primary | Yes |
| LEI number | Registered As | Jurisdiction Of Formation | General Category | Entity Status | Entity created at | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 549300OLB0XLQUJLCS41 | L12000071286 | US-FL | GENERAL | ACTIVE | No data | |||||||||||||||||||
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| Legal | C/O MANKO, ALANA, 7000 N FEDERAL HIGHWAY, BOCA RATON, US-FL, US, 33487-1644 |
| Headquarters | 7000 North Federal Highway, Boca Raton, US-FL, US, 33487 |
Registration details
| Registration Date | 2014-10-15 |
| Last Update | 2023-08-04 |
| Status | LAPSED |
| Next Renewal | 2020-01-09 |
| LEI Issuer | 5493001KJTIIGC8Y1R12 |
| Corroboration Level | FULLY_CORROBORATED |
| Data Validated As | L12000071286 |
| Name | Role | Address |
|---|---|---|
| MANKO ALANA | Agent | 7000 N FEDERAL HIGHWAY, BOCA RATON, FL, 334871644 |
| Name | Role |
|---|---|
| TREATMENT ALTERNATIVES, LLC | Managing Member |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| REINSTATEMENT | 2020-10-27 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2018-08-01 | MANKO, ALANA | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-04-01 | 7000 N FEDERAL HIGHWAY, BOCA RATON, FL 33487-1644 | No data |
| CHANGE OF MAILING ADDRESS | 2013-11-20 | 7000 N FEDERAL HIGHWAY, BOCA RATON, FL 33487-1644 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-11-15 | 7000 N FEDERAL HIGHWAY, BOCA RATON, FL 33487-1644 | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2020-10-27 |
| ANNUAL REPORT | 2019-06-12 |
| AMENDED ANNUAL REPORT | 2018-08-01 |
| ANNUAL REPORT | 2018-04-02 |
| ANNUAL REPORT | 2017-04-13 |
| ANNUAL REPORT | 2016-04-14 |
| ANNUAL REPORT | 2015-04-14 |
| ANNUAL REPORT | 2014-04-01 |
| ANNUAL REPORT | 2013-08-14 |
| Florida Limited Liability | 2012-05-25 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
