Entity Name: | EMILIO B. TORRES PROFESSIONAL ASSOCIATION |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 13 Nov 2001 (23 years ago) |
Document Number: | P01000108732 |
FEI/EIN Number | 651152098 |
Mail Address: | 584 GLENFIELD WAY, WEST PALM BEACH, FL, 33411, US |
Address: | 1447 MEDICAL PARK BLVD, SUITE 202, WELLINGTON, FL, 33414, US |
ZIP code: | 33414 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1922275239 | 2008-05-15 | 2008-05-15 | 1397 MEDICAL PARK BLVD, SUITE 200, WELLINGTON, FL, 334143186, US | 1397 MEDICAL PARK BLVD, SUITE 200, WELLINGTON, FL, 334143186, US | |||||||||||||||||||||||||
|
Phone | +1 561-204-1449 |
Fax | 5612041461 |
Authorized person
Name | MISS IRINA Y CHANG |
Role | RECEPTIONIST |
Phone | 5612041449 |
Taxonomy
Taxonomy Code | 207V00000X - Obstetrics & Gynecology Physician |
License Number | ME83642 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 263131800 |
State | FL |
Name | Role | Address |
---|---|---|
EMILIO TORRES MD PA | Agent | 1447 MEDICAL PARK BLVD, WELLINGTON, FL, 33414 |
Name | Role | Address |
---|---|---|
TORRES EMILIO B | Director | 584 GLENFIELD WAY, WEST PALM BEACH, FL, 33411 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2014-01-10 | 1447 MEDICAL PARK BLVD, SUITE 202, WELLINGTON, FL 33414 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2014-01-10 | 1447 MEDICAL PARK BLVD, SUITE 202, WELLINGTON, FL 33414 | No data |
CHANGE OF MAILING ADDRESS | 2007-05-23 | 1447 MEDICAL PARK BLVD, SUITE 202, WELLINGTON, FL 33414 | No data |
REGISTERED AGENT NAME CHANGED | 2004-07-05 | EMILIO TORRES MD PA | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-01-31 |
ANNUAL REPORT | 2023-02-07 |
ANNUAL REPORT | 2022-04-25 |
ANNUAL REPORT | 2021-04-07 |
ANNUAL REPORT | 2020-06-09 |
ANNUAL REPORT | 2019-02-12 |
ANNUAL REPORT | 2018-01-15 |
ANNUAL REPORT | 2017-01-05 |
ANNUAL REPORT | 2016-01-28 |
ANNUAL REPORT | 2015-01-28 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State