| Entity Name: | MARTHA M. KATO, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 14 Jun 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: | P10000049531 |
| Address: | 1230 SOUTH FEDERAL HIGHWAY, SUITE 102, BOYNTON BEACH, FL, 33435 |
| Mail Address: | PO BOX 740260, BOYNTON BEACH, FL, 33474 |
| ZIP code: | 33435 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740591585 | 2010-06-26 | 2011-03-23 | PO BOX 740260, BOYNTON BEACH, FL, 334740260, US | 1230 S FEDERAL HWY STE 102, BOYNTON BEACH, FL, 334356000, US | |||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 561-364-2822 |
| Fax | 5613642844 |
Authorized person
| Name | MARTHA M. KATO |
| Role | PRESIDENT |
| Phone | 5613642822 |
Taxonomy
| Taxonomy Code | 2084P0015X - Psychosomatic Medicine Physician |
| License Number | ME79939 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | ME79939 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 2084P0804X - Child & Adolescent Psychiatry Physician |
| License Number | ME79939 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 2084P0805X - Geriatric Psychiatry Physician |
| License Number | ME79939 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| TOMBERG JEFF E | Agent | 626 S.E. 4TH STREET, BOYNTON BEACH, FL, 33435 |
| Name | Role | Address |
|---|---|---|
| KATO MARTHA M | Director | 1230 SOUTH FEDERAL HIGHWAY, SUITE 102, BOYNTON BEACH, FL, 33435 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| Name | Date |
|---|---|
| Off/Dir Resignation | 2011-02-24 |
| Domestic Profit | 2010-06-14 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
