| Entity Name: | FLORIDA HEALTH SOURCE OF PALM BEACH, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 10 Oct 2003 (21 years ago) |
| Date of dissolution: | 16 Sep 2005 (19 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 16 Sep 2005 (19 years ago) |
| Document Number: | P03000112347 |
| FEI/EIN Number | 20-0304545 |
| Address: | 350 JIM MORAN BLVD, DEERFIELD BEACH, FL 33442 |
| Mail Address: | 350 JIM MORAN BLVD, DEERFIELD BEACH, FL 33442 |
| ZIP code: | 33442 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| BLOOM, JONATHAN ESQ. | Agent | BLOOM, BALTEN, AND FREELING, 2295 NW CORPORATE BLVD, STE. 117, BOCA RATON, FL 33431 |
| Name | Role | Address |
|---|---|---|
| BROVENICK, EVAN | President | 350 JIM MORAN BLVD, DEERFIELD BEACH, FL 33442 |
| Name | Role | Address |
|---|---|---|
| BROVENICK, EVAN | Treasurer | 350 JIM MORAN BLVD, DEERFIELD BEACH, FL 33442 |
| Name | Role | Address |
|---|---|---|
| BROVENICK, EVAN | Director | 350 JIM MORAN BLVD, DEERFIELD BEACH, FL 33442 |
| BLECHMAN, DAVID | Director | 350 JIM MORAN BLVD, DEERFIELD BEACH, FL 33442 |
| Name | Role | Address |
|---|---|---|
| BLECHMAN, DAVID | Secretary | 350 JIM MORAN BLVD, DEERFIELD BEACH, FL 33442 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2005-09-16 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2004-05-03 | BLOOM, JONATHAN ESQ. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2004-05-03 | BLOOM, BALTEN, AND FREELING, 2295 NW CORPORATE BLVD, STE. 117, BOCA RATON, FL 33431 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2004-05-03 |
| Domestic Profit | 2003-10-10 |
Date of last update: 05 Jan 2025
Sources: Florida Department of State
