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RALPH BRESLAW, M.D., P.A. - Florida Company Profile

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Company Details

Entity Name: RALPH BRESLAW, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 04 Jun 2001 (24 years ago)
Document Number: P01000056746
FEI/EIN Number 651120165
Address: 9868 state road 7, boynton beach, FL, 33472, US
Mail Address: 17260 Hampton Blvd, Boca Raton, FL, 33496, US
ZIP code: 33472
City: Boynton Beach
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
breslaw ralph Director 9868 state road 7, boynton beach, FL, 33472
breslaw ralph President 9868 state road 7, boynton beach, FL, 33472
breslaw ralph Secretary 9868 state road 7, boynton beach, FL, 33472
breslaw ralph Treasurer 9868 state road 7, boynton beach, FL, 33472
BRESLAW RALPH Agent 9868 STATE ROAD 7, BOYNTON BEACH, FL, 33472

National Provider Identifier

NPI Number:
1154639417

Authorized Person:

Name:
RALPH BRESLAW
Role:
PRES
Phone:

Taxonomy:

Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
5612742060

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-02-09 9868 state road 7, Suite 300, boynton beach, FL 33472 -
CHANGE OF PRINCIPAL ADDRESS 2018-01-18 9868 state road 7, Suite 300, boynton beach, FL 33472 -
REGISTERED AGENT ADDRESS CHANGED 2018-01-18 9868 STATE ROAD 7, SUITE 300, BOYNTON BEACH, FL 33472 -

Documents

Name Date
ANNUAL REPORT 2024-02-09
ANNUAL REPORT 2023-02-01
ANNUAL REPORT 2022-02-10
ANNUAL REPORT 2021-01-19
ANNUAL REPORT 2020-01-28
ANNUAL REPORT 2019-02-14
ANNUAL REPORT 2018-01-18
ANNUAL REPORT 2017-04-28
ANNUAL REPORT 2016-04-28
ANNUAL REPORT 2015-04-22

Paycheck Protection Program

Jobs Reported:
3
Initial Approval Amount:
$33,070
Date Approved:
2021-04-10
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$33,070
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$33,211.34
Servicing Lender:
Customers Bank
Use of Proceeds:
Payroll: $33,070
Jobs Reported:
3
Initial Approval Amount:
$32,000
Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$32,000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$32,223.11
Servicing Lender:
SouthState Bank, National Association
Use of Proceeds:
Payroll: $32,000

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Date of last update: 02 Aug 2025

Sources: Florida Department of State