Entity Name: | BRUCE J. HOLTZMAN, D.P.M., P.C. |
Jurisdiction: | FLORIDA |
Filing Type: | Foreign Profit |
Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
Date Filed: | 30 Jan 1987 (38 years ago) |
Document Number: | P13063 |
FEI/EIN Number |
382332270
Federal Employer Identification (FEI) Number assigned by the IRS. |
Address: | 6630 Conch Ct., Boynton Beach, FL, 33437, US |
Mail Address: | 6630 Conch Ct., Boynton Beach, FL, 33437, US |
ZIP code: | 33437 |
County: | Palm Beach |
Place of Formation: | MICHIGAN |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1457464976 | 2006-08-17 | 2023-03-29 | 6630 CONCH CT, BOYNTON BEACH, FL, 334373651, US | 7060 SW 8TH ST, MIAMI, FL, 331444650, US | |||||||||||||||||||||||||
|
Phone | +1 561-336-4369 |
Fax | 5613364370 |
Authorized person
Name | DR. BRUCE J HOLTZMAN |
Role | PRESIDENT |
Phone | 5614992700 |
Taxonomy
Taxonomy Code | 213E00000X - Podiatrist |
License Number | PO 1127 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 057614000 |
State | FL |
Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
BRUCE J. HOLTZMAN, D.P.M., P.C. 401(K) PROFIT SHARING PLAN | 2013 | 382332270 | 2014-10-09 | BRUCE J. HOLTZMAN, D.P.M., P.C. | 2 | |||||||||||||||||||||||||||||||
|
Administrator’s EIN | 382332270 |
Plan administrator’s name | BRUCE J. HOLTZMAN, D.P.M., P.C. |
Plan administrator’s address | 5162 LINTON BLVD., SUITE 206, DELRAY BEACH, FL, 33484 |
Administrator’s telephone number | 5614992700 |
Signature of
Role | Plan administrator |
Date | 2014-10-09 |
Name of individual signing | BRUCE J. HOLTZMAN |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2011-01-01 |
Business code | 621210 |
Sponsor’s telephone number | 5614992700 |
Plan sponsor’s address | 5162 LINTON BLVD., SUITE 206, DELRAY BEACH, FL, 33484 |
Plan administrator’s name and address
Administrator’s EIN | 382332270 |
Plan administrator’s name | BRUCE J. HOLTZMAN, D.P.M., P.C. |
Plan administrator’s address | 5162 LINTON BLVD., SUITE 206, DELRAY BEACH, FL, 33484 |
Administrator’s telephone number | 5614992700 |
Signature of
Role | Plan administrator |
Date | 2013-10-14 |
Name of individual signing | BRUCE J. HOLTZMAN |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2011-01-01 |
Business code | 621210 |
Sponsor’s telephone number | 5614992700 |
Plan sponsor’s address | 5162 LINTON BLVD., SUITE 206, DELRAY BEACH, FL, 33484 |
Plan administrator’s name and address
Administrator’s EIN | 382332270 |
Plan administrator’s name | BRUCE J. HOLTZMAN, D.P.M., P.C. |
Plan administrator’s address | 5162 LINTON BLVD., SUITE 206, DELRAY BEACH, FL, 33484 |
Administrator’s telephone number | 5614992700 |
Signature of
Role | Plan administrator |
Date | 2012-10-08 |
Name of individual signing | BRUCE J. HOLTZMAN |
Valid signature | Filed with authorized/valid electronic signature |
Name | Role | Address |
---|---|---|
HOLTZMAN, BRUCE J. | Director | 6630 Conch Ct., Boynton Beach, FL, 33437 |
HOLTZMAN, BRUCE J. | President | 6630 Conch Ct., Boynton Beach, FL, 33437 |
HOLTZMAN, BRUCE J. | Secretary | 6630 Conch Ct., Boynton Beach, FL, 33437 |
HOLTZMAN BRUCE J | Agent | 6630 Conch Ct., Boynton Beach, FL, 33437 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2024-01-12 | 6630 Conch Ct., Boynton Beach, FL 33437 | - |
CHANGE OF MAILING ADDRESS | 2024-01-12 | 6630 Conch Ct., Boynton Beach, FL 33437 | - |
REGISTERED AGENT ADDRESS CHANGED | 2024-01-12 | 6630 Conch Ct., Boynton Beach, FL 33437 | - |
REGISTERED AGENT NAME CHANGED | 2023-01-25 | HOLTZMAN, BRUCE J. | - |
Name | Date |
---|---|
ANNUAL REPORT | 2025-02-03 |
ANNUAL REPORT | 2024-01-12 |
ANNUAL REPORT | 2023-01-25 |
ANNUAL REPORT | 2022-01-31 |
ANNUAL REPORT | 2021-02-09 |
ANNUAL REPORT | 2020-01-20 |
ANNUAL REPORT | 2019-01-28 |
ANNUAL REPORT | 2018-01-16 |
ANNUAL REPORT | 2017-01-10 |
ANNUAL REPORT | 2016-01-21 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State