| Entity Name: | BRIAN C. MORAES, D.O., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 02 Jul 2001 (24 years ago) |
| Document Number: | P01000065303 |
| FEI/EIN Number | 651119102 |
| Address: | 9325 GLADES ROAD, SUITE 208, BOCA RATON, FL, 33434, US |
| Mail Address: | 9325 GLADES ROAD, SUITE 208, BOCA RATON, FL, 33434, US |
| ZIP code: | 33434 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1932290749 | 2006-09-27 | 2013-09-18 | 9325 GLADES RD, SUITE 107, BOCA RATON, FL, 334343988, US | 9325 GLADES RD, SUITE 107, BOCA RATON, FL, 334343988, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 561-883-7770 |
| Fax | 5618837779 |
Authorized person
| Name | BRIAN C MORAES |
| Role | OWNER |
| Phone | 5618837770 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | OS7601 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AETNA HMO |
| Number | 2130594 |
| State | FL |
| Issuer | AVMED |
| Number | 258524 |
| State | FL |
| Issuer | NHP |
| Number | 38219 |
| State | FL |
| Issuer | AETNA NON-HMO |
| Number | 5501766 |
| State | FL |
| Issuer | GHI |
| Number | 7911846 |
| State | FL |
| Issuer | BCBS |
| Number | 44811 |
| State | FL |
| Issuer | PHCS |
| Number | G06413 |
| State | FL |
| Issuer | CIGNA |
| Number | 9064736001 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MOFSEN HOWARD J | Agent | 5541 N. University Drive, Coral Springs, FL, 33067 |
| Name | Role | Address |
|---|---|---|
| MORAES BRIAN C | President | 9325 GLADES ROAD, BOCA RATON, FL, 33434 |
| Name | Role | Address |
|---|---|---|
| MORAES BRIAN C | Secretary | 9325 GLADES ROAD, BOCA RATON, FL, 33434 |
| Name | Role | Address |
|---|---|---|
| MORAES BRIAN C | Treasurer | 9325 GLADES ROAD, BOCA RATON, FL, 33434 |
| Name | Role | Address |
|---|---|---|
| MORAES BRIAN C | Director | 9325 GLADES ROAD, BOCA RATON, FL, 33434 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-29 | 9325 GLADES ROAD, SUITE 208, BOCA RATON, FL 33434 | No data |
| CHANGE OF MAILING ADDRESS | 2022-01-29 | 9325 GLADES ROAD, SUITE 208, BOCA RATON, FL 33434 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-01-12 | 5541 N. University Drive, Suite 103, Coral Springs, FL 33067 | No data |
| REGISTERED AGENT NAME CHANGED | 2005-01-28 | MOFSEN, HOWARD J | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-24 |
| ANNUAL REPORT | 2023-03-09 |
| ANNUAL REPORT | 2022-01-29 |
| ANNUAL REPORT | 2021-02-20 |
| ANNUAL REPORT | 2020-02-28 |
| ANNUAL REPORT | 2019-04-04 |
| ANNUAL REPORT | 2018-02-11 |
| ANNUAL REPORT | 2017-01-12 |
| ANNUAL REPORT | 2016-01-19 |
| ANNUAL REPORT | 2015-01-12 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
