| Entity Name: | MEDPSYCH CONSULTANTS, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 07 Sep 2011 (13 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | P11000079042 |
| FEI/EIN Number | 45-3191208 |
| Address: | 7777 GLADES RD, 100, BOCA RATON, FL 33434 |
| Mail Address: | 7777 GLADES RD, 100, BOCA RATON, FL 33434 |
| ZIP code: | 33434 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548545874 | 2011-10-18 | 2015-05-15 | 7777 GLADES RD, SUITE 100, BOCA RATON, FL, 334344194, US | 7777 GLADES RD, SUITE 100, BOCA RATON, FL, 334344194, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 561-573-3495 |
| Fax | 8889103040 |
Authorized person
| Name | MR. ADAM T AROYO |
| Role | OWNER |
| Phone | 5615733495 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| License Number | OS9500 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
| License Number | ME73286 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 208600000X - Surgery Physician |
| License Number | ME0012185 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 004503100 |
| State | FL |
| Issuer | MEDICARE PTAN |
| Number | FS505 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| AROYO, ADAM T | Agent | 19893 DINNER KEY DRIVE, BOCA RATON, FL 33498 |
| Name | Role | Address |
|---|---|---|
| AROYO, ADAM TARNP | PRESIDENT | 19893 DINNER KEY DRIVE, BOCA RATON, FL 33498 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000037372 | CHAI MEDICAL | EXPIRED | 2015-04-14 | 2020-12-31 | No data | 7777 GLADES RD, STE 100, BOCA RATON, FL, 33434 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-02-13 | 7777 GLADES RD, 100, BOCA RATON, FL 33434 | No data |
| CHANGE OF MAILING ADDRESS | 2012-02-13 | 7777 GLADES RD, 100, BOCA RATON, FL 33434 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J13001786582 | TERMINATED | 1000000553105 | PALM BEACH | 2013-11-20 | 2023-12-26 | $ 341.16 | STATE OF FLORIDA0014354 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-03-26 |
| Off/Dir Resignation | 2016-10-27 |
| ANNUAL REPORT | 2016-02-18 |
| ANNUAL REPORT | 2015-02-23 |
| ANNUAL REPORT | 2014-04-03 |
| ANNUAL REPORT | 2013-03-26 |
| ANNUAL REPORT | 2012-02-13 |
| Domestic Profit | 2011-09-07 |
Date of last update: 24 Jan 2025
Sources: Florida Department of State
