| Entity Name: | DELRAY FAMILY PRACTICE, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 24 Feb 2005 (20 years ago) |
| Date of dissolution: | 26 Sep 2014 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (10 years ago) |
| Document Number: | P05000029397 |
| FEI/EIN Number | 202401152 |
| Address: | 3816 HOLLYWOOD BOULEVARD, SUITE #2, HOLLYWOOD, FL, 33021, US |
| Mail Address: | 3816 HOLLYWOOD BOULEVARD, SUITE #2, HOLLYWOOD, FL, 33021, US |
| ZIP code: | 33021 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003007014 | 2007-08-05 | 2012-09-26 | 3816 HOLLYWOOD BLVD, SUITE 102, HOLLYWOOD, FL, 330216750, US | 3816 HOLLYWOOD BLVD, SUITE 102, HOLLYWOOD, FL, 330216750, US | |||||||||||||||||||
|
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| Phone | +1 954-987-2900 |
| Fax | 9549872986 |
Authorized person
| Name | MR. JOSEPH PALAZZOLO |
| Role | PRESIDENT |
| Phone | 9549872900 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | HCC6603 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PALAZZOLO JOSEPH A | Agent | 3000 N.E. 44TH STREET, FT. LAUDERDALE, FL, 33308 |
| Name | Role | Address |
|---|---|---|
| PALAZZOLO JOSEPH A | President | 3000 N.E. 44TH STREET, FT. LAUDERDALE, FL, 33308 |
| Name | Role | Address |
|---|---|---|
| PALAZZOLO KIMBERLY A | Vice President | 3000 N.E. 44TH STREET, FT. LAUDERDALE, FL, 33308 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G08099900270 | THE FAMILY PRACTICE | EXPIRED | 2008-04-08 | 2013-12-31 | No data | 3000 NE 44 STREET, FT LAUDERDALE, FL, 33308 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-04-11 | 3000 N.E. 44TH STREET, 102, FT. LAUDERDALE, FL 33308 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-04-11 | 3816 HOLLYWOOD BOULEVARD, SUITE #2, HOLLYWOOD, FL 33021 | No data |
| CHANGE OF MAILING ADDRESS | 2008-04-11 | 3816 HOLLYWOOD BOULEVARD, SUITE #2, HOLLYWOOD, FL 33021 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2013-02-08 |
| ANNUAL REPORT | 2012-04-11 |
| ANNUAL REPORT | 2011-03-08 |
| ANNUAL REPORT | 2010-01-21 |
| ANNUAL REPORT | 2009-04-05 |
| ANNUAL REPORT | 2008-04-11 |
| ANNUAL REPORT | 2007-02-06 |
| ANNUAL REPORT | 2006-01-12 |
| Domestic Profit | 2005-02-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
