| Entity Name: | BOCA INJURY AND WELLNESS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 27 May 2014 (11 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 27 Oct 2014 (10 years ago) |
| Document Number: | L14000088207 |
| FEI/EIN Number | 46-5714404 |
| Address: | 3200 Forest Hill Blvd, West Palm Beach, FL, 33406, US |
| Mail Address: | 3200 Forest Hill Blvd, West Palm Beach, FL, 33406, US |
| ZIP code: | 33406 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053701714 | 2015-02-02 | 2015-02-02 | 6201 N FEDERAL HWY STE 5&6, BOCA RATON, FL, 334873200, US | 6201 N FEDERAL HWY STE 5&6, BOCA RATON, FL, 334873200, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 561-409-4840 |
| Fax | 5614094578 |
Authorized person
| Name | CHRISTINE FRENCH |
| Role | OWNER |
| Phone | 5614094840 |
Taxonomy
| Taxonomy Code | 302F00000X - Exclusive Provider Organization |
| License Number | CH7762 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FRENCH CHRISTINE | Agent | 3200 Forest Hill Blvd, West Palm Beach, FL, 33406 |
| Name | Role | Address |
|---|---|---|
| FRENCH CHRISTINE | Authorized Member | 3200 Forest Hill Blvd, West Palm Beach, FL, 33406 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000034193 | PHYSICAL MEDICINE OF THE PALM BEACHES | ACTIVE | 2018-03-13 | 2028-12-31 | No data | 3200 FOREST HILL BLVD, SUITE2, WEST PALM BEACH, FL, 33406 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-01-14 | 3200 Forest Hill Blvd, West Palm Beach, FL 33406 | No data |
| CHANGE OF MAILING ADDRESS | 2020-01-14 | 3200 Forest Hill Blvd, West Palm Beach, FL 33406 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-01-14 | 3200 Forest Hill Blvd, West Palm Beach, FL 33406 | No data |
| LC STMNT OF RA/RO CHG | 2014-10-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-05 |
| ANNUAL REPORT | 2023-01-25 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-01-14 |
| ANNUAL REPORT | 2019-03-05 |
| ANNUAL REPORT | 2018-01-10 |
| ANNUAL REPORT | 2017-01-23 |
| ANNUAL REPORT | 2016-03-04 |
| ANNUAL REPORT | 2015-02-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
