| Entity Name: | BOYNTON PHYSICAL MEDICINE, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 06 Sep 2007 (17 years ago) |
| Date of dissolution: | 02 Jan 2019 (6 years ago) |
| Last Event: | PENDING REINSTATEMENT |
| Event Date Filed: | 02 Jan 2019 (6 years ago) |
| Document Number: | P07000099290 |
| FEI/EIN Number | 26-0897557 |
| Address: | 3379 WEST WOOLBRIGHT ROAD, BOYNTON BEACH, FL 33436 |
| Mail Address: | 3379 WEST WOOLBRIGHT ROAD, BOYNTON BEACH, FL 33436 |
| ZIP code: | 33436 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689928087 | 2012-11-07 | 2013-03-07 | 3379 W. WOOLBRIGHT ROAD, BOYNTON BEACH, FL, 334367245, US | 3379 W. WOOLBRIGHT ROAD, BOYNTON BEACH, FL, 334367245, US | |||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 561-737-7334 |
| Fax | 5613363092 |
Authorized person
| Name | MICHAEL BARRY HIRSCH |
| Role | PRESIDENT/OWNER |
| Phone | 5617377334 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH4754 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH10675 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 171100000X - Acupuncturist |
| License Number | 058450 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| License Number | 058450 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 225700000X - Massage Therapist |
| License Number | CH4754 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| HIRSCH, MICHAEL B | Agent | 3717 BOYNTON BEACH BLVD.#9, BOYNTON BEACH, FL 33436 |
| Name | Role | Address |
|---|---|---|
| HIRSCH, MICHAEL | Director | 1796 BANYAN CREEK CIRCLE N, BOYNTON BEACH, FL 33436 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-05-01 | 3379 WEST WOOLBRIGHT ROAD, BOYNTON BEACH, FL 33436 | No data |
| CHANGE OF MAILING ADDRESS | 2012-05-01 | 3379 WEST WOOLBRIGHT ROAD, BOYNTON BEACH, FL 33436 | No data |
| REGISTERED AGENT NAME CHANGED | 2009-07-20 | HIRSCH, MICHAEL B | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-07-20 | 3717 BOYNTON BEACH BLVD.#9, BOYNTON BEACH, FL 33436 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-04-18 |
| ANNUAL REPORT | 2015-04-28 |
| ANNUAL REPORT | 2014-04-28 |
| ANNUAL REPORT | 2013-04-25 |
| ANNUAL REPORT | 2012-05-01 |
| ANNUAL REPORT | 2011-04-29 |
| ANNUAL REPORT | 2010-04-30 |
| ANNUAL REPORT | 2009-07-20 |
| ANNUAL REPORT | 2008-04-21 |
| Domestic Profit | 2007-09-06 |
Date of last update: 27 Jan 2025
Sources: Florida Department of State
