| Entity Name: | MICHAEL L METZGER MD PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 04 Mar 2009 (16 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 10 Oct 2010 (14 years ago) |
| Document Number: | P09000020583 |
| FEI/EIN Number | 264403980 |
| Address: | 2300 S. Congress Ave, Boynton Beach, FL, 33426, US |
| Mail Address: | 2300 S. Congress Ave, Boynton Beach, FL, 33426, US |
| ZIP code: | 33426 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205077286 | 2009-03-20 | 2009-11-17 | 10151 ENTERPRISE CENTER BLVD, SUITE 204, BOYNTON BEACH, FL, 334373761, US | 10151 ENTERPRISE CENTER BLVD, SUITE 204, BOYNTON BEACH, FL, 334373761, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 561-515-0080 |
| Fax | 5613008620 |
Authorized person
| Name | MICHAEL LAWRENCE METZGER |
| Role | OWNER |
| Phone | 5615150080 |
Taxonomy
| Taxonomy Code | 207RI0011X - Interventional Cardiology Physician |
| License Number | ME97956 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAL LICENSE |
| Number | ME97956 |
| State | FL |
| Issuer | MEDICAID |
| Number | 001004700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| METZGER MICHAEL L | Agent | 2300 S. Congress Ave, Boynton Beach, FL, 33426 |
| Name | Role | Address |
|---|---|---|
| METZGER MICHAEL L | President | 2300 S. Congress Ave, Boynton Beach, FL, 33426 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-24 | 2300 S. Congress Ave, Suite 105, Boynton Beach, FL 33426 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-24 | 2300 S. Congress Ave, Suite 105, Boynton Beach, FL 33426 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-24 | 2300 S. Congress Ave, Suite 105, Boynton Beach, FL 33426 | No data |
| REINSTATEMENT | 2010-10-10 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-24 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-01-24 |
| ANNUAL REPORT | 2019-03-26 |
| ANNUAL REPORT | 2018-01-23 |
| ANNUAL REPORT | 2017-03-29 |
| ANNUAL REPORT | 2016-03-30 |
| ANNUAL REPORT | 2015-03-12 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
