| Entity Name: | PGA MEDICAL CENTER, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 23 Apr 2010 (15 years ago) |
| Date of dissolution: | 23 Sep 2011 (13 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2011 (13 years ago) |
| Document Number: | P10000035690 |
| Address: | 7100 FAIRWAY DR. #33, PALM BEACH GARDENS, FL, 33418 |
| Mail Address: | 7100 FAIRWAY DR. #33, PALM BEACH GARDENS, FL, 33418 |
| ZIP code: | 33418 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770802175 | 2010-05-25 | 2010-05-25 | 7100 FAIRWAY DR STE 33, PALM BEACH GARDENS, FL, 334183782, US | 7100 FAIRWAY DR STE 33, PALM BEACH GARDENS, FL, 334183782, US | |||||||||||||||||||||||||
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| Phone | +1 561-625-5556 |
Authorized person
| Name | DR. DAVID QUARTELL |
| Role | PRESIDENT |
| Phone | 5616255556 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH7713 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME-98041 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| QUARTELL DAVID | Agent | 126 CASA GRANDE CT., PALM BEACH GARDENS, FL, 33418 |
| Name | Role | Address |
|---|---|---|
| QUARTELL DAVID | Director | 126 CASA GRANDE CT, PALM BEACH GARDENS, FL, 33418 |
| BOSHERS BEAU | Director | 117 CASA GRANDE CT, PALM BEACH GARDENS, FL, 33418 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2010-04-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
