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INTERMED OF BOCA RATON, INC. - Florida Company Profile

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Company Details

Entity Name: INTERMED OF BOCA RATON, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 09 Jan 2003 (23 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 26 Oct 2015 (10 years ago)
Document Number: P03000004266
FEI/EIN Number 141867975
Address: 950 GLADES ROAD, Boca Raton, FL, 33432, US
Mail Address: 4855 W. HILLSBORO BLVD. SUITE B-2, COCONUT CREEK, FL, 33073, US
ZIP code: 33432
City: Boca Raton
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
- Agent -
Bray Sophie Chief Financial Officer 4855 W. HILLSBORO BLVD. SUITE B-2, COCONUT CREEK, FL, 33073
BRAY CHANTAL Director 4855 W. HILLSBORO BLVD. SUITE B-2, COCONUT CREEK, FL, 33073
BOURQUE LISE Director 4855 W. HILLSBORO BLVD. SUITE B-2, COCONUT CREEK, FL, 33073
Hutchison Michael Secretary 4855 W hillsboro Blvd, Coconut Creek, FL, 33073

National Provider Identifier

NPI Number:
1407212327
Certification Date:
2021-07-12

Authorized Person:

Name:
CHANTAL BRAY
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
207K00000X - Allergy & Immunology Physician
Is Primary:
Yes

Contacts:

Fax:
9543548151

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-06-14 950 GLADES ROAD, 4D, Boca Raton, FL 33432 -
REINSTATEMENT 2015-10-26 - -
REGISTERED AGENT NAME CHANGED 2015-10-26 Intermed of Boca Raton -
REGISTERED AGENT ADDRESS CHANGED 2015-10-26 4855 W. Hillsboro Blvd Suit, Suite B-2, Coconut Creek, FL 33073 -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2015-09-25 - -
CHANGE OF MAILING ADDRESS 2010-02-16 950 GLADES ROAD, 4D, Boca Raton, FL 33432 -

Documents

Name Date
ANNUAL REPORT 2024-03-05
ANNUAL REPORT 2023-01-23
ANNUAL REPORT 2022-03-14
ANNUAL REPORT 2021-02-22
ANNUAL REPORT 2020-03-16
ANNUAL REPORT 2019-02-11
ANNUAL REPORT 2018-01-24
ANNUAL REPORT 2017-02-09
ANNUAL REPORT 2016-03-14
REINSTATEMENT 2015-10-26

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Date of last update: 02 Aug 2025

Sources: Florida Department of State