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PALM BEACH UROLOGY ASSOCIATES, P.A. - Florida Company Profile

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Company Details

Entity Name: PALM BEACH UROLOGY ASSOCIATES, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 19 Mar 1990 (35 years ago)
Last Event: CANCEL ADM DISS/REV
Event Date Filed: 20 Oct 2004 (21 years ago)
Document Number: L59341
FEI/EIN Number 650185096
Address: 3347 STATE ROAD 7, SUITE 101, WELLINGTON, FL, 33449
Mail Address: 3347 STATE ROAD 7, SUITE 101, WELLINGTON, FL, 33449
ZIP code: 33449
City: Lake Worth
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
BECKER, EDWARD R. President 3347 STATE ROAD 7, SUITE 101, WELLINGTON, FL, 33449
BECKER, EDWARD R. Treasurer 3347 STATE ROAD 7, SUITE 101, WELLINGTON, FL, 33449
BECKER, EDWARD R. Agent 3347 STATE ROAD 7, WELLINGTON, FL, 33449
LOPEZ RAFAEL Vice President 3347 STATE ROAD 7, SUITE 101, WELLINGTON, FL, 33449

National Provider Identifier

NPI Number:
1730167875

Authorized Person:

Name:
MS. NADYA PRIETO
Role:
OFFICE ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
208800000X - Urology Physician
Is Primary:
Yes

Contacts:

Fax:
5617900893

Form 5500 Series

Employer Identification Number (EIN):
650185096
Plan Year:
2011
Number Of Participants:
41
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
49
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
42
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
34
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
44
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2010-03-30 3347 STATE ROAD 7, SUITE 101, WELLINGTON, FL 33449 -
REGISTERED AGENT ADDRESS CHANGED 2010-03-30 3347 STATE ROAD 7, SUITE 101, WELLINGTON, FL 33449 -
CHANGE OF PRINCIPAL ADDRESS 2010-03-30 3347 STATE ROAD 7, SUITE 101, WELLINGTON, FL 33449 -
CANCEL ADM DISS/REV 2004-10-20 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2004-10-01 - -
REINSTATEMENT 1995-10-19 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 1995-08-25 - -

Documents

Name Date
ANNUAL REPORT 2025-01-09
ANNUAL REPORT 2024-02-06
ANNUAL REPORT 2023-01-30
ANNUAL REPORT 2022-03-16
ANNUAL REPORT 2021-02-04
ANNUAL REPORT 2020-03-07
ANNUAL REPORT 2019-04-10
ANNUAL REPORT 2018-03-12
ANNUAL REPORT 2017-03-01
ANNUAL REPORT 2016-03-02

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Date of last update: 01 Aug 2025

Sources: Florida Department of State