| Entity Name: | MEDVANTAGE PRIMARY CARE INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 07 Mar 2024 (a year ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 11 Jun 2024 (8 months ago) |
| Document Number: | P24000017912 |
| Address: | 8198 S. Jog Road, STE 100, BOYNTON BEACH, FL 33472 |
| Mail Address: | 8198 S. Jog Road, STE 100, BOYNTON BEACH, FL 33472 |
| ZIP code: | 33472 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619736352 | 2024-03-15 | 2024-05-05 | 22119 MARTELLA AVE, BOCA RATON, FL, 334334661, US | 8198 S JOG RD STE 100, BOYNTON BEACH, FL, 334722998, US | |||||||||||||||||
|
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| Phone | +1 561-690-8904 |
| Phone | +1 561-943-5519 |
| Fax | 5614233948 |
Authorized person
| Name | DR. MICHAEL LOUIS GOLDBERG |
| Role | PRESIDENT |
| Phone | 5616908904 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GOLDBERG, MICHAEL L | Agent | 8198 S. Jog Road, STE 100, BOYNTON BEACH, FL 33472 |
| Name | Role | Address |
|---|---|---|
| GOLDBERG, MICHAEL L | President | 8198 S. Jog Road Ste 100, BOYNTON BEACH, FL 33472 |
| Name | Role | Address |
|---|---|---|
| GOLDBERG, MICHAEL L | Treasurer | 8198 S. Jog Road Ste 100, BOYNTON BEACH, FL 33472 |
| Name | Role | Address |
|---|---|---|
| GOLDBERG, MICHAEL L | Secretary | 8198 S. Jog Road Ste 100, BOYNTON BEACH, FL 33472 |
| Name | Role | Address |
|---|---|---|
| GOLDBERG, MICHAEL L | Director | 8198 S. Jog Road Ste 100, BOYNTON BEACH, FL 33472 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2024-06-11 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-06-11 | 8198 S. Jog Road, STE 100, BOYNTON BEACH, FL 33472 | No data |
| CHANGE OF MAILING ADDRESS | 2024-06-11 | 8198 S. Jog Road, STE 100, BOYNTON BEACH, FL 33472 | No data |
| Name | Date |
|---|---|
| Amendment | 2024-06-11 |
| Domestic Profit | 2024-03-07 |
Date of last update: 07 Jan 2025
Sources: Florida Department of State
