| Entity Name: | PALM BEACH FAMILY MEDICAL ASSOCIATES INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 16 May 2005 (20 years ago) |
| Document Number: | P05000071389 |
| FEI/EIN Number | 260117749 |
| Address: | 4889 LAKE WORTH ROAD, #109, GREENACRES, FL, 33463 |
| Mail Address: | 4889 Lake Worth Road, Greenacres, FL, 33463, US |
| ZIP code: | 33463 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710172929 | 2007-09-11 | 2008-02-13 | 5700 LAKE WORTH RD, STE 103, GREENACRES, FL, 334634727, US | 5700 LAKE WORTH RD, STE 103, GREENACRES, FL, 334634727, US | |||||||||||||||||||
|
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| Phone | +1 561-649-7532 |
| Fax | 5616497535 |
Authorized person
| Name | DR. KATHLEEN S RATHBUN |
| Role | PRESIDENT |
| Phone | 5613098112 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | OS7267 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RATHBUN KATHLEEN SD.O. | Agent | 788 WHIPPOORWILL WAY, W PALM BCH, FL, 33411 |
| Name | Role | Address |
|---|---|---|
| RATHBUN KATHLEEN SD.O. | President | 788 WHIPPOORWILL WAY, W PALM BCH, FL, 33411 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2014-01-10 | 4889 LAKE WORTH ROAD, #109, GREENACRES, FL 33463 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-02-07 | 4889 LAKE WORTH ROAD, #109, GREENACRES, FL 33463 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-01 |
| ANNUAL REPORT | 2023-01-31 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-01-13 |
| ANNUAL REPORT | 2020-01-15 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-02-22 |
| ANNUAL REPORT | 2017-04-28 |
| ANNUAL REPORT | 2016-04-28 |
| ANNUAL REPORT | 2015-04-30 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
