| Entity Name: | CONCIERGE MEDICINE OF BOCA RATON, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 30 Aug 2021 (3 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 16 May 2023 (2 years ago) |
| Document Number: | L21000387729 |
| FEI/EIN Number | 87-2372657 |
| Address: | 825 MEADOWS RD, BOCA RATON, FL, 33486, US |
| Mail Address: | 825 MEADOWS RD, 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 | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346069325 | 2024-10-07 | 2024-10-07 | 825 MEADOWS RD STE 111, BOCA RATON, FL, 334862347, US | 825 MEADOWS RD STE 111, BOCA RATON, FL, 334862347, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 561-961-3005 |
| Fax | 5619540020 |
Authorized person
| Name | DR. CAITLIN PRICKETT |
| Role | OWNER/PHYSICIAN |
| Phone | 5619613005 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RUNYON JEFFERY | Agent | 825 MEADOWS RD, BOCA RATON, FL, 33486 |
| Name | Role | Address |
|---|---|---|
| PRICKETT CAITLIN | Authorized Member | 825 MEADOWS RD STE 111, BOCA RATON, FL, 33486 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000153863 | CONCIERGE MEDICINE OF BOCA RATON | ACTIVE | 2021-11-17 | 2026-12-31 | No data | 825 MEADOWS ROAD SUITE 111, BOCA RATON, FL, 33486 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC NAME CHANGE | 2023-05-16 | CONCIERGE MEDICINE OF BOCA RATON, PLLC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-09-15 | 825 MEADOWS RD, 111, BOCA RATON, FL 33486 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-12-06 | 825 MEADOWS RD, SUITE 111, BOCA RATON, FL 33486 | No data |
| CHANGE OF MAILING ADDRESS | 2021-12-06 | 825 MEADOWS RD, SUITE 111, BOCA RATON, FL 33486 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-01 |
| LC Name Change | 2023-05-16 |
| ANNUAL REPORT | 2023-04-06 |
| ANNUAL REPORT | 2022-09-15 |
| Florida Limited Liability | 2021-08-30 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
