| Entity Name: | PBC PLUS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 27 Mar 2013 (12 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 03 Jan 2025 (2 months ago) |
| Document Number: | L13000045503 |
| FEI/EIN Number | 800913648 |
| Address: | 7593 W. Boynton Beach Blvd, Boynton Beach, FL, 33437, US |
| Mail Address: | 7593 W. Boynton Beach Blvd, Boynton Beach, FL, 33437, US |
| ZIP code: | 33437 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316369531 | 2014-01-07 | 2024-05-24 | 7593 W BOYNTON BEACH BLVD STE 220, BOYNTON BEACH, FL, 334376162, US | 7593 W BOYNTON BEACH BLVD STE 220, BOYNTON BEACH, FL, 334376162, US | |||||||||||||||||||||
|
|||||||||||||||||||||||||
| Phone | +1 561-678-2652 |
Authorized person
| Name | CASEY WATERS |
| Role | CEO |
| Phone | 5616782652 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 302F00000X - Exclusive Provider Organization |
| Is Primary | Yes |
| Name | Role |
|---|---|
| UNITED CORPORATE SERVICES, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| LIRA CARLOS M.D. | President | 7593 W. Boynton Beach Blvd, Boynton Beach, FL, 33437 |
| Name | Role | Address |
|---|---|---|
| Parsons Keith CFO | Chief Financial Officer | 7593 W. Boynton Beach Blvd, Boynton Beach, FL, 33437 |
| Name | Role | Address |
|---|---|---|
| Krasner Stephen M.D. | Treasurer | 7593 W. Boynton Beach Blvd, Boynton Beach, FL, 33437 |
| Name | Role | Address |
|---|---|---|
| Waters Casey PM.D. | Chief Executive Officer | 7593 W. Boynton Beach Blvd, Boynton Beach, FL, 33437 |
| Name | Role | Address |
|---|---|---|
| Schwartz Peter VP | Vice President | 7593 W. Boynton Beach Blvd, Boynton Beach, FL, 33437 |
| Name | Role | Address |
|---|---|---|
| Speizman Peter Secreta | Secretary | 7593 W. Boynton Beach Blvd, Boynton Beach, FL, 33437 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC STMNT OF RA/RO CHG | 2025-01-03 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2025-01-03 | united corporate services, inc | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2025-01-03 | 3458 lakeshore drive, Suite 220, tallahassee, FL 32312 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-04-11 | Waters, Casey, CEO | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-30 | 7593 W. Boynton Beach Blvd, Suite 220, Boynton Beach, FL 33437 | No data |
| CHANGE OF MAILING ADDRESS | 2022-01-30 | 7593 W. Boynton Beach Blvd, 220, Boynton Beach, FL 33437 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-30 | 7593 W. Boynton Beach Blvd, 220, Boynton Beach, FL 33437 | No data |
| Name | Date |
|---|---|
| CORLCRACHG | 2025-01-03 |
| ANNUAL REPORT | 2024-04-18 |
| ANNUAL REPORT | 2023-04-11 |
| ANNUAL REPORT | 2022-01-30 |
| ANNUAL REPORT | 2021-04-13 |
| AMENDED ANNUAL REPORT | 2020-10-05 |
| ANNUAL REPORT | 2020-03-24 |
| ANNUAL REPORT | 2019-02-28 |
| ANNUAL REPORT | 2018-03-05 |
| ANNUAL REPORT | 2017-02-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
