| Entity Name: | BOYNTON QUALITY MEDICAL CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 31 Mar 2014 (11 years ago) |
| Document Number: | L14000052101 |
| FEI/EIN Number | 46-5287131 |
| Address: | 11082 MILITARY TRAIL, BAY 46, BOYNTON BEACH, FL 33436 |
| Mail Address: | 11082 MILITARY TRAIL, BAY 46, BOYNTON BEACH, FL 33436 |
| ZIP code: | 33436 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629484886 | 2014-07-09 | 2014-09-08 | 11082 S MILITARY TRL # B46, BOYNTON BEACH, FL, 334367217, US | 11082 S MILITARY TRL, B46, BOYNTON BEACH, FL, 334367217, US | |||||||||||||||||||||||||||||
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| Phone | +1 561-740-3299 |
| Fax | 5617403749 |
Authorized person
| Name | DR. PAMELA ANGELA MYERS |
| Role | OWNER |
| Phone | 5617403299 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | 72378 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAL LICENSE |
| Number | 72378 |
| State | FL |
| Issuer | NPI |
| Number | 1104860105 |
| Name | Role | Address |
|---|---|---|
| MYERS, PAMELA A, MD | Agent | 11082 MILITARY TRAIL, BAY 46, BOYNTON BEACH, FL 33436 |
| Name | Role | Address |
|---|---|---|
| MYERS, PAMELA A | OWNER | 11082 MILITARY TRAIL, BAY 46 BOYNTON BEACH, FL 33436 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2015-01-14 | 11082 MILITARY TRAIL, BAY 46, BOYNTON BEACH, FL 33436 | No data |
| CHANGE OF MAILING ADDRESS | 2015-01-14 | 11082 MILITARY TRAIL, BAY 46, BOYNTON BEACH, FL 33436 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-28 |
| ANNUAL REPORT | 2024-04-12 |
| ANNUAL REPORT | 2023-03-07 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-01-28 |
| ANNUAL REPORT | 2020-09-16 |
| ANNUAL REPORT | 2019-01-21 |
| ANNUAL REPORT | 2018-07-05 |
| ANNUAL REPORT | 2017-04-05 |
| ANNUAL REPORT | 2016-01-26 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2440528410 | 2021-02-03 | 0455 | PPS | 11082 MILITARY TRAIL BAY 46, BOYNTON BEACH, FL, 33436 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1498697308 | 2020-04-28 | 0455 | PPP | 11082 S MILITARY TRL, BOYNTON BEACH, FL, 33436 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 21 Feb 2025
Sources: Florida Department of State
