| Entity Name: | CITRIN MEDICAL CORP. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 24 Mar 2015 (10 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: | P15000028423 |
| FEI/EIN Number | 473594024 |
| Address: | 6699 N FEDERAL HWY, BOCA RATON, FL, 33487, US |
| Mail Address: | 6699 N FEDERAL HWY, BOCA RATON, FL, 33487, US |
| ZIP code: | 33487 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265810477 | 2015-05-08 | 2016-10-10 | 2061 NW BOCA RATON BLVD, STE106, BOCA RATON, FL, 33431, US | 2061 NW BOCA RATON BLVD, STE 106, BOCA RATON, FL, 33431, US | |||||||||||||||||||||||
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| Phone | +1 561-303-2912 |
| Fax | 5613032951 |
Authorized person
| Name | DR. MAX CITRIN |
| Role | OWNER |
| Phone | 5613032912 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | OS12975 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| Is Primary | No |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CITRIN MEDICAL CORP 401(K) PROFIT SHARING PLAN & TRUST | 2023 | 473594024 | 2024-05-13 | CITRIN MEDICAL CORP | 1 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-05-13 |
| Name of individual signing | EDWARD ROJAS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2017-01-01 |
| Business code | 812990 |
| Sponsor’s telephone number | 5613032912 |
| Plan sponsor’s address | 6699 N FEDERAL HWY, STE 200, BOCA RATON, FL, 33431 |
Signature of
| Role | Plan administrator |
| Date | 2022-06-14 |
| Name of individual signing | EDWARD ROJAS |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2017-01-01 |
| Business code | 812990 |
| Sponsor’s telephone number | 5613032912 |
| Plan sponsor’s address | 6699 N FEDERAL HWY, STE 200, BOCA RATON, FL, 33431 |
Signature of
| Role | Plan administrator |
| Date | 2021-06-10 |
| Name of individual signing | EDWARD ROJAS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2017-01-01 |
| Business code | 812990 |
| Sponsor’s telephone number | 5613032912 |
| Plan sponsor’s address | 2061 NW 2ND AVE, SUITE 206, BOCA RATON, FL, 33487 |
Signature of
| Role | Plan administrator |
| Date | 2020-06-17 |
| Name of individual signing | EDWARD ROJAS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Citrin Max Dr. | Agent | 6699 N. Federal Hwy, BOCA RATON, FL, 33487 |
| Name | Role | Address |
|---|---|---|
| CITRIN MAX | President | 6699 N FEDERAL HWY, BOCA RATON, FL, 33487 |
| Name | Role | Address |
|---|---|---|
| CITRIN MAX | Director | 6699 N FEDERAL HWY, BOCA RATON, FL, 33487 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000003501 | PARAGON MEDICAL & ORTHOPEDIC SERVICES | EXPIRED | 2016-01-08 | 2021-12-31 | No data | 2061 NW BOCA RATON BLVD, #106, BOCA RATON, FL, 33431 |
| G15000080120 | PURE AGE MANAGMENT | EXPIRED | 2015-08-03 | 2020-12-31 | No data | 1015 GATEWAY BLVD, SUITE 401, BOYNTON BEACH, FL, 33426 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2018-04-20 | Citrin, Max, Dr. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-04-20 | 6699 N. Federal Hwy, SUITE 200, BOCA RATON, FL 33487 | No data |
| AMENDMENT | 2017-04-03 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-04-03 | 6699 N FEDERAL HWY, SUITE 200, BOCA RATON, FL 33487 | No data |
| CHANGE OF MAILING ADDRESS | 2017-04-03 | 6699 N FEDERAL HWY, SUITE 200, BOCA RATON, FL 33487 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-04-20 |
| Amendment | 2017-04-03 |
| ANNUAL REPORT | 2017-03-14 |
| AMENDED ANNUAL REPORT | 2016-11-07 |
| ANNUAL REPORT | 2016-04-27 |
| Domestic Profit | 2015-03-24 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
