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  5. BOCA PATHOLOGY, INC.

BOCA PATHOLOGY, INC.

Company Details

Entity Name: BOCA PATHOLOGY, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 14 Mar 2005 (20 years ago)
Date of dissolution: 27 Aug 2020 (4 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 27 Aug 2020 (4 years ago)
Document Number: P05000038323
FEI/EIN Number 202580933
Address: 1665 S W 4th Ave, BOCA RATON, FL, 33432, US
Mail Address: P.O BOX 272350, BOCA RATON, FL, 33427
ZIP code: 33432
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1205895844 2006-03-22 2020-08-22 PO BOX 63069, CHARLESTON, SC, 29406, US 800 MEADOWS RD, BOCA COMMUNITY HOSPITAL, BOCA RATON, FL, 33486, US

Contacts
Phone +1 305-229-4311
Fax 3052294388
Phone +1 561-955-4136
Fax 5619555268

Authorized person
Name MIGUEL A BRITO JR.
Role PRESIDENT
Phone 5619554136

Taxonomy
Taxonomy Code 207ZP0102X - Anatomic Pathology & Clinical Pathology Physician
Is Primary Yes

Other Provider Identifiers
Issuer BLUE CROSS BLUE SHIELD
Number 94831
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BOCA PATHOLOGY, INC. PROFIT SHARING PLAN 2019 202580933 2020-08-17 BOCA PATHOLOGY, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 5617060545
Plan sponsor’s address P.O. BOX 272350, BOCA RATON, FL, 334272350
BOCA PATHOLOGY, INC. PROFIT SHARING PLAN 2018 202580933 2019-06-26 BOCA PATHOLOGY, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 5617060545
Plan sponsor’s address P.O. BOX 272350, BOCA RATON, FL, 334272350
BOCA PATHOLOGY, INC. PROFIT SHARING PLAN 2017 202580933 2018-07-25 BOCA PATHOLOGY, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 5617060545
Plan sponsor’s address P.O. BOX 272350, BOCA RATON, FL, 334272350
BOCA PATHOLOGY, INC. PROFIT SHARING PLAN 2016 202580933 2017-07-13 BOCA PATHOLOGY, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 5619554730
Plan sponsor’s address P.O. BOX 272350, BOCA RATON, FL, 334272350
BOCA PATHOLOGY, INC. PROFIT SHARING PLAN 2015 202580933 2016-08-09 BOCA PATHOLOGY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 5619554730
Plan sponsor’s address P.O. BOX 272350, BOCA RATON, FL, 334272350
BOCA PATHOLOGY, INC. PROFIT SHARING PLAN 2014 202580933 2015-10-11 BOCA PATHOLOGY, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 5619554730
Plan sponsor’s address P.O. BOX 272350, BOCA RATON, FL, 334272350

Signature of
Role Plan administrator
Date 2015-10-11
Name of individual signing MIGUEL A BRITO JR.
Valid signature Filed with authorized/valid electronic signature
BOCA PATHOLOGY, INC. PROFIT SHARING PLAN 2013 202580933 2014-10-02 BOCA PATHOLOGY, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 5619554730
Plan sponsor’s address P.O. BOX 272350, BOCA RATON, FL, 334272350

Plan administrator’s name and address
Administrator’s EIN 202580933
Plan administrator’s name BOCA PATHOLOGY, INC.
Plan administrator’s address P.O. BOX 272350, BOCA RATON, FL, 334272350
Administrator’s telephone number 5619554730

Signature of
Role Plan administrator
Date 2014-10-02
Name of individual signing MIGUEL A BRITO JR
Valid signature Filed with authorized/valid electronic signature
BOCA PATHOLOGY, INC. PROFIT SHARING PLAN 2012 202580933 2013-02-28 BOCA PATHOLOGY, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 5619554730
Plan sponsor’s address P.O. BOX 272350, BOCA RATON, FL, 334272350

Plan administrator’s name and address
Administrator’s EIN 202580933
Plan administrator’s name BOCA PATHOLOGY, INC.
Plan administrator’s address P.O. BOX 272350, BOCA RATON, FL, 334272350
Administrator’s telephone number 5619554730

Signature of
Role Plan administrator
Date 2013-02-28
Name of individual signing MIGUEL A BRITO JR
Valid signature Filed with authorized/valid electronic signature
BOCA PATHOLOGY, INC. PROFIT SHARING PLAN 2011 202580933 2012-02-29 BOCA PATHOLOGY, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 5619554136
Plan sponsor’s address P.O. BOX 272350, BOCA RATON, FL, 334272350

Plan administrator’s name and address
Administrator’s EIN 202580933
Plan administrator’s name BOCA PATHOLOGY, INC.
Plan administrator’s address P.O. BOX 272350, BOCA RATON, FL, 334272350
Administrator’s telephone number 5619554136

Signature of
Role Plan administrator
Date 2012-02-29
Name of individual signing MIGUEL A BRITO JR
Valid signature Filed with authorized/valid electronic signature
BOCA PATHOLOGY, INC. PROFIT SHARING PLAN 2010 202580933 2011-02-24 BOCA PATHOLOGY, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 5619554136
Plan sponsor’s address P.O. BOX 272350, BOCA RATON, FL, 334272350

Plan administrator’s name and address
Administrator’s EIN 202580933
Plan administrator’s name BOCA PATHOLOGY, INC.
Plan administrator’s address P.O. BOX 272350, BOCA RATON, FL, 334272350
Administrator’s telephone number 5619554136

Signature of
Role Plan administrator
Date 2011-02-24
Name of individual signing MIGUEL BRITO JR
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Corporation Company of Miami, Inc. Agent 525 Okeechobee Blvd., West Palm Beach, FL, 33401

President

Name Role Address
BRITO MIGUEL A President P.O BOX 272350, BOCA RATON, FL, 33427

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2020-08-27 No data No data
CHANGE OF PRINCIPAL ADDRESS 2020-05-11 1665 S W 4th Ave, BOCA RATON, FL 33432 No data
REGISTERED AGENT NAME CHANGED 2015-02-23 Corporation Company of Miami, Inc. No data
REGISTERED AGENT ADDRESS CHANGED 2015-02-23 525 Okeechobee Blvd., SUITE 1100, West Palm Beach, FL 33401 No data
AMENDMENT 2013-10-22 No data No data
CHANGE OF MAILING ADDRESS 2006-04-12 1665 S W 4th Ave, BOCA RATON, FL 33432 No data
AMENDMENT 2005-05-09 No data No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2020-08-27
ANNUAL REPORT 2020-05-11
ANNUAL REPORT 2019-03-18
ANNUAL REPORT 2018-01-23
ANNUAL REPORT 2017-02-10
AMENDED ANNUAL REPORT 2016-03-30
ANNUAL REPORT 2016-03-08
ANNUAL REPORT 2015-02-23
ANNUAL REPORT 2014-03-20
Amendment 2013-10-22

Related by officers

BRITO MIGUEL A

PURUHA, LLC REGIONAL PATHOLOGY ASSOCIATES, LLC REGIONAL FLOW MOLECULAR & PATHOLOGY LABORATORY, LLC BRITO WINDOWS INC SIMSCA CORP BIARPLUS SERVICES LLC EVOLUTION CONSULTING GROUP LLC BRITO'S PRINTING INC. MBC PRINTING, INC. NEW AGE REMODELING, INC.

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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