| Entity Name: | TERRY L. BOECKEL OD, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 14 May 2002 (23 years ago) |
| Document Number: | P02000053428 |
| FEI/EIN Number | 010704276 |
| Address: | 1017 MANGO ISLE, FT. LAUDERDALE, FL, 33315 |
| Mail Address: | 1017 MANGO ISLE, FT. LAUDERDALE, FL, 33315 |
| ZIP code: | 33315 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396433462 | 2023-04-26 | 2023-04-26 | 1017 MANGO ISLE, FORT LAUDERDALE, FL, 333151327, US | 12890 PINES BLVD, PEMBROKE PINES, FL, 330271708, US | |||||||||||||||
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| Phone | +1 305-785-2986 |
| Phone | +1 954-443-4699 |
Authorized person
| Name | DR. TERRY BOECKEL |
| Role | PRESIDENT |
| Phone | 3057852986 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BOECKEL TERRY LDr. | Agent | 1017 MANGO ISLE, FT. LAUDERDALE, FL, 33315 |
| Name | Role | Address |
|---|---|---|
| BOECKEL TERRY LDr. | President | 1017 MANGO ISLE, FT. LAUDERDALE, FL, 33315 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2015-02-23 | BOECKEL, TERRY L, Dr. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-01-09 | 1017 MANGO ISLE, FT. LAUDERDALE, FL 33315 | No data |
| CHANGE OF MAILING ADDRESS | 2007-01-09 | 1017 MANGO ISLE, FT. LAUDERDALE, FL 33315 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-01-09 | 1017 MANGO ISLE, FT. LAUDERDALE, FL 33315 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-21 |
| ANNUAL REPORT | 2024-02-01 |
| ANNUAL REPORT | 2023-01-18 |
| ANNUAL REPORT | 2022-01-27 |
| ANNUAL REPORT | 2021-03-16 |
| ANNUAL REPORT | 2020-01-15 |
| ANNUAL REPORT | 2019-02-14 |
| ANNUAL REPORT | 2018-01-09 |
| ANNUAL REPORT | 2017-01-11 |
| ANNUAL REPORT | 2016-02-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
