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PALM BEACH PHYSICIANS, P.A. - Florida Company Profile

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Company Details

Entity Name: PALM BEACH PHYSICIANS, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 28 Mar 2000 (25 years ago)
Date of dissolution: 23 Sep 2016 (9 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2016 (9 years ago)
Document Number: P00000031190
FEI/EIN Number 650995404
Address: 3731 LAKE WORTH ROAD, STE 1, LAKE WORTH, FL, 33461
Mail Address: 8144 Desmond Dr., Boynton Bch, FL, 33472, US
ZIP code: 33461
City: Lake Worth
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
SAN PEDRO NANCY Secretary 8144 Desmond Dr., Boynton Bch, FL, 33472
SAN PEDRO BENEDICTO President 8144 Desmond Dr., Boynton Bch, FL, 33472
SAN PEDRO BENEDICTO Treasurer 8144 Desmond Dr., Boynton Bch, FL, 33472
SAN PEDRO BENEDICTO Director 8144 Desmond Dr., Boynton Bch, FL, 33472
SAN PEDRO BENEDICTO Agent 8144 Desmond Dr., Boynton Bch, FL, 33472

National Provider Identifier

NPI Number:
1639365182

Authorized Person:

Name:
DR. BENEDICTO SANPEDRO
Role:
DOCTOR
Phone:

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
5614394833

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 - -
CHANGE OF MAILING ADDRESS 2015-02-23 3731 LAKE WORTH ROAD, STE 1, LAKE WORTH, FL 33461 -
REGISTERED AGENT ADDRESS CHANGED 2015-02-23 8144 Desmond Dr., Boynton Bch, FL 33472 -
CHANGE OF PRINCIPAL ADDRESS 2001-03-01 3731 LAKE WORTH ROAD, STE 1, LAKE WORTH, FL 33461 -

Documents

Name Date
ANNUAL REPORT 2015-02-23
ANNUAL REPORT 2014-01-28
ANNUAL REPORT 2013-03-13
ANNUAL REPORT 2012-01-30
ANNUAL REPORT 2011-02-17
ANNUAL REPORT 2010-03-03
ANNUAL REPORT 2009-04-13
ANNUAL REPORT 2008-02-25
ANNUAL REPORT 2007-03-23
ANNUAL REPORT 2006-02-10

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Date of last update: 01 Aug 2025

Sources: Florida Department of State