| Entity Name: | PALM BEACH MEDICAL CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 17 Jan 2003 (22 years ago) |
| Date of dissolution: | 25 Sep 2009 (15 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2009 (15 years ago) |
| Document Number: | P03000006751 |
| FEI/EIN Number | 161651375 |
| Address: | 4394 PALM BEACH BLVD, FT MYERS, FL, 33905 |
| Mail Address: | 4394 PALM BEACH BLVD, FT MYERS, FL, 33905 |
| ZIP code: | 33905 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376750687 | 2007-05-17 | 2020-08-22 | 4394 PALM BEACH BLD, FORT MYERS, FL, 33905, US | 4394 PALM BEACH BLD, FORT MYERS, FL, 339053446, US | |||||||||||||||||||
|
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| Phone | +1 239-690-1817 |
| Fax | 2396901362 |
Authorized person
| Name | MR. GERARD S VALERE |
| Role | PRESIDENT |
| Phone | 2396901817 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | HCC5625 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| VALERE GERARD S | Agent | 4394 PALM BEACH BLVD, FT MYERS, FL, 33905 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| CANCEL ADM DISS/REV | 2007-10-09 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| Name | Date |
|---|---|
| Off/Dir Resignation | 2009-07-21 |
| ANNUAL REPORT | 2008-06-23 |
| ANNUAL REPORT | 2008-06-17 |
| ANNUAL REPORT | 2008-06-11 |
| REINSTATEMENT | 2007-10-09 |
| ANNUAL REPORT | 2006-04-29 |
| ANNUAL REPORT | 2005-10-11 |
| Off/Dir Resignation | 2004-12-06 |
| ANNUAL REPORT | 2004-09-08 |
| Off/Dir Resignation | 2004-07-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
