| Entity Name: | BOYNTON MEDICAL GROUP, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 01 Mar 2010 (15 years ago) |
| Date of dissolution: | 27 Dec 2021 (3 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 27 Dec 2021 (3 years ago) |
| Document Number: | P10000018287 |
| FEI/EIN Number | 272005750 |
| Address: | 1300 CONCORD TERRACE, SUNRISE, FL, 33323, US |
| Mail Address: | 1300 CONCORD TERRACE, SUNRISE, FL, 33323, US |
| ZIP code: | 33323 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942519277 | 2010-10-05 | 2015-04-01 | 14201 W SUNRISE BLVD, SUITE 207, SUNRISE, FL, 333233207, US | 1501 CORPORATE DR, BOYNTON BEACH, FL, 334266600, US | |||||||||||||||||||||||
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| Phone | +1 954-505-5000 |
| Fax | 9548389660 |
| Phone | +1 561-369-4255 |
| Fax | 5613693254 |
Authorized person
| Name | DAVID R RODRIGUEZ |
| Role | PRESIDENT |
| Phone | 9545055000 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME91277 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ DAVID R | Agent | 1300 CONCORD TERRACE, Sunrise, FL, 33323 |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ DAVID R | President | 1300 CONCORD TERRACE, SUNRISE, FL, 33323 |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ DAVID R | Director | 1300 CONCORD TERRACE, SUNRISE, FL, 33323 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000115820 | AMICUS MEDICAL GROUP | EXPIRED | 2017-10-20 | 2022-12-31 | No data | 14201 WEST SUNRISE BLVD, SUITE 207, SUNRISE, FL, 33323 |
| G16000131221 | AMICUS MEDICAL GROUP | ACTIVE | 2016-12-07 | 2026-12-31 | No data | 1300 CONCORD TERRACE, SUITE 210, SUNRISE, FL, 33323 |
| G10000091078 | AMICUS MEDICAL GROUP | EXPIRED | 2010-10-05 | 2015-12-31 | No data | 566 EAST WOOLBRIGHT ROAD, BOYNTON BEACH, FL, 33435 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2021-12-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-16 | 1300 CONCORD TERRACE, SUITE 210, Sunrise, FL 33323 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-01-16 | 1300 CONCORD TERRACE, SUITE 210, SUNRISE, FL 33323 | No data |
| CHANGE OF MAILING ADDRESS | 2019-01-16 | 1300 CONCORD TERRACE, SUITE 210, SUNRISE, FL 33323 | No data |
| REGISTERED AGENT NAME CHANGED | 2012-04-13 | RODRIGUEZ, DAVID R | No data |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2021-12-27 |
| ANNUAL REPORT | 2021-04-09 |
| ANNUAL REPORT | 2020-05-01 |
| ANNUAL REPORT | 2019-04-16 |
| ANNUAL REPORT | 2018-04-10 |
| ANNUAL REPORT | 2017-04-25 |
| ANNUAL REPORT | 2016-04-05 |
| ANNUAL REPORT | 2015-04-02 |
| ANNUAL REPORT | 2014-04-18 |
| ANNUAL REPORT | 2013-03-25 |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
