| Entity Name: | HEALTHEXCEL MEDICAL GROUP AT PALM BEACH, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 18 Feb 2009 (16 years ago) |
| Date of dissolution: | 27 Sep 2013 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (11 years ago) |
| Document Number: | P09000015542 |
| FEI/EIN Number | 264295395 |
| Address: | 5405 OKEECHOBEE BLVD., SUITE 303, W. PALM BEACH, FL, 33417 |
| Mail Address: | 13780 SW 26TH STREET, SUITE 206, MIAMI, FL, 33175 |
| ZIP code: | 33417 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952638496 | 2009-11-04 | 2011-03-01 | 5405 OKEECHOBEE BLVD, STE 303, WEST PALM BEACH, FL, 334174543, US | 5405 OKEECHOBEE BLVD, STE 303, WEST PALM BEACH, FL, 334174543, US | |||||||||||||||||||
|
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| Phone | +1 561-689-8686 |
| Fax | 5616898682 |
Authorized person
| Name | MR. VINCENT CRUPI |
| Role | DIRECTOR OF IT |
| Phone | 3052071632 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME101368 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| COLLINS KEITH | President | 13780 SW 26TH STREET, SUITE 206, MIAMI, FL, 33175 |
| Name | Role | Address |
|---|---|---|
| COLLINS KEITH | Secretary | 13780 SW 26TH STREET, SUITE 206, MIAMI, FL, 33175 |
| Name | Role | Address |
|---|---|---|
| COLLINS KEITH | Treasurer | 13780 SW 26TH STREET, SUITE 206, MIAMI, FL, 33175 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G09000186454 | CENTURY 21 MEDICAL CENTER | EXPIRED | 2009-12-18 | 2014-12-31 | No data | 5405 OKEECHOBEE BOULEVARD, SUITE 303, WEST PALM BEACH, FL, 33417 |
| G09086900221 | CENTURY 21 MEDICAL | EXPIRED | 2009-03-27 | 2014-12-31 | No data | 5405 OKEECHOBEE BLVD SUITE 303, W. PALM BEACH, FL, 33417 |
| G09061900423 | WEST OKEECHOBEE BLVD MEDICAL ASSOCIATES | EXPIRED | 2009-03-02 | 2014-12-31 | No data | 5405 OKEECHOBEE BLVD. SUITE303, WEST PALM BEACH, FL, 33417 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2011-12-19 | 5405 OKEECHOBEE BLVD., SUITE 303, W. PALM BEACH, FL 33417 | No data |
| REGISTERED AGENT NAME CHANGED | 2011-01-14 | C T CORPORATION SYSTEM | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-01-14 | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 | No data |
| AMENDMENT AND NAME CHANGE | 2009-12-11 | HEALTHEXCEL MEDICAL GROUP AT PALM BEACH, INC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-02-07 |
| ANNUAL REPORT | 2011-01-14 |
| ANNUAL REPORT | 2010-06-07 |
| ANNUAL REPORT | 2010-01-05 |
| Amendment and Name Change | 2009-12-11 |
| Domestic Profit | 2009-02-18 |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
