Search icon

WEST BOCA PHYSICIANS GROUP, INC. - Florida Company Profile

Company claim

Is this your business?

Get access!

Company Details

Entity Name: WEST BOCA PHYSICIANS GROUP, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 10 Sep 2007 (18 years ago)
Date of dissolution: 26 Jun 2018 (7 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 26 Jun 2018 (7 years ago)
Document Number: P07000100692
FEI/EIN Number 261080110
Address: 5870 North Hiatus Road, Suite 200, Tamarac, FL, 33321, US
Mail Address: 265 BROOKVIEW CENTRE WAY, SUITE 400, ATTN: Legal Dept., KNOXVILLE, TN, 37919, US
ZIP code: 33321
City: Fort Lauderdale
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
UPPAL ROHIT MD Director 5870 North Hiatus Road, Suite 200, Tamarac, FL, 33321
STAIR JOHN Assistant Secretary 265 BROOKVIEW CENTRE WAY, SUITE 400, KNOXVILLE, TN, 37919
barrack john Assistant Treasurer 265 BROOKVIEW CENTRE WAY, SUITE 400, KNOXVILLE, TN, 37919
- Agent -

National Provider Identifier

NPI Number:
1255529186

Authorized Person:

Name:
DR. STEPHEN G. HOLTZCLAW
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
363A00000X - Physician Assistant
Is Primary:
No
Selected Taxonomy:
208M00000X - Hospitalist Physician
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2018-06-26 - -
CHANGE OF MAILING ADDRESS 2018-04-19 5870 North Hiatus Road, Suite 200, Tamarac, FL 33321 -
CHANGE OF PRINCIPAL ADDRESS 2017-04-12 5870 North Hiatus Road, Suite 200, Tamarac, FL 33321 -

Documents

Name Date
ANNUAL REPORT 2018-04-19
ANNUAL REPORT 2017-04-12
ANNUAL REPORT 2016-04-21
ANNUAL REPORT 2015-04-14
ANNUAL REPORT 2014-04-03
ANNUAL REPORT 2013-04-18
ANNUAL REPORT 2012-04-11
ANNUAL REPORT 2011-04-18
ANNUAL REPORT 2010-04-23
ANNUAL REPORT 2009-04-14

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 01 Jul 2025

Sources: Florida Department of State