| Entity Name: | PALM BEACH THERAPY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 09 May 2003 (22 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 09 Sep 2019 (5 years ago) |
| Document Number: | P03000052896 |
| FEI/EIN Number | 743091859 |
| Address: | 2695 NW 29 DR., 1, BOCA RATON, FL, 33434 |
| Mail Address: | 2695 NW 29 DR., 1, BOCA RATON, FL, 33434 |
| ZIP code: | 33434 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659304806 | 2006-07-09 | 2011-01-25 | 2695 NW 29TH DR, BOCA RATON, FL, 334343676, US | 2695 NW 29TH DR, BOCA RATON, FL, 334343676, US | |||||||||||||||||
|
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| Phone | +1 561-372-9840 |
Authorized person
| Name | RIMA KHAZEM |
| Role | PRESIDENT |
| Phone | 5613729840 |
Taxonomy
| Taxonomy Code | 225X00000X - Occupational Therapist |
| License Number | OT8765 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| 1996 INC. | Agent |
| Name | Role | Address |
|---|---|---|
| KHAZEM RIMA | President | 2695 NW 29 DR. #1, BOCA RATON, FL, 33434 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2019-09-09 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-09-09 | 1996 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-04-20 | 2695 NW 29 DR., 1, BOCA RATON, FL 33434 | No data |
| CHANGE OF MAILING ADDRESS | 2011-04-20 | 2695 NW 29 DR., 1, BOCA RATON, FL 33434 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-04-20 | 2695 NW 29 DR., 1, BOCA RATON, FL 33434 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-03-25 |
| ANNUAL REPORT | 2022-03-19 |
| ANNUAL REPORT | 2021-03-14 |
| ANNUAL REPORT | 2020-01-23 |
| REINSTATEMENT | 2019-09-09 |
| ANNUAL REPORT | 2017-03-27 |
| ANNUAL REPORT | 2016-02-16 |
| ANNUAL REPORT | 2015-04-25 |
| ANNUAL REPORT | 2014-04-20 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
