| Entity Name: | THE BOCA RATON CENTER FOR INTERNAL MEDICINE, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 Jan 2018 (7 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 16 Jul 2024 (7 months ago) |
| Document Number: | L18000019802 |
| FEI/EIN Number | 824224413 |
| Address: | 880 N.W. 13TH ST., SUITE 120, BOCA RATON, FL, 33486, US |
| Mail Address: | 880 N.W. 13TH ST., SUITE 120, BOCA RATON, FL, 33486, US |
| ZIP code: | 33486 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306347794 | 2018-02-22 | 2018-09-10 | 880 NW 13TH ST STE 120, BOCA RATON, FL, 334862342, US | 880 NW 13TH ST STE 120, BOCA RATON, FL, 334862342, US | |||||||||||||||||||
|
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| Phone | +1 561-408-8195 |
| Fax | 5612938348 |
Authorized person
| Name | DR. TIAGO MIGUEL |
| Role | PHYSICIAN |
| Phone | 5614088195 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME117449 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Martinoff Richard | Agent | 880 N.W. 13TH ST., BOCA RATON, FL, 33486 |
| Name | Role | Address |
|---|---|---|
| Martinoff Richard | Manager | 880 N.W. 13TH ST., BOCA RATON, FL, 33486 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000018158 | THE BOCA RATON CENTER FOR INTERNAL MEDICINE | ACTIVE | 2018-02-02 | 2028-12-31 | No data | 880 N.W. 13TH ST., SUITE 120, BOCA RATON, FL, 33486 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-08-06 | Martinoff, Richard | No data |
| LC AMENDMENT | 2024-07-16 | No data | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-08-06 |
| LC Amendment | 2024-07-16 |
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-01-18 |
| ANNUAL REPORT | 2022-02-08 |
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-01-13 |
| ANNUAL REPORT | 2019-04-04 |
| Florida Limited Liability | 2018-01-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
