| Entity Name: | PHYSIATRY MEDICAL CONSULTING, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 27 Feb 2023 (2 years ago) |
| Document Number: | P23000017042 |
| FEI/EIN Number | 92-2727937 |
| Address: | 5135 DEERHURST CRESCENT CIRCLE, BOCA RATON, FL, 33486, UN |
| Mail Address: | 5135 DEERHURST CRESCENT CIRCLE, BOCA RATON, FL, 33486, UN |
| ZIP code: | 33486 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366143026 | 2023-03-10 | 2023-10-05 | 5135 DEERHURST CRESCENT CIR, BOCA RATON, FL, 334868532, US | 6363 VERDE TRL, BOCA RATON, FL, 334337702, US | |||||||||||||||
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| Phone | +1 561-901-2855 |
| Phone | +1 561-483-9282 |
Authorized person
| Name | CHARLES W GRAUBERT |
| Role | PRESIDENT |
| Phone | 5619012855 |
Taxonomy
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| THE HALLE LAW FIRM, P.A. | Agent |
| Name | Role | Address |
|---|---|---|
| GRAUBERT CHARLES W | President | 5135 DEERHURST CRESCENT CIRCLE, BOCA RATON, FL, 33486 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-01 |
| Domestic Profit | 2023-02-27 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
