| Entity Name: | EAST COAST MEDICAL ASSOCIATES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 05 Nov 1992 (32 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 09 Aug 2021 (4 years ago) |
| Document Number: | P92000002230 |
| FEI/EIN Number | 65-0366342 |
| Address: | 1500 N.W. 10TH AVENUE, SUITE 205, BOCA RATON, FL 33486 |
| Mail Address: | 1500 N.W. 10TH AVENUE, SUITE 205, BOCA RATON, FL 33486 |
| ZIP code: | 33486 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457410979 | 2006-12-08 | 2013-04-17 | 7301 W PALMETTO PARK RD, SUITE 108B, BOCA RATON, FL, 334333458, US | 7301 W PALMETTO PARK RD, SUITE 108B, BOCA RATON, FL, 334333458, US | |||||||||||||||||||||||||
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| Phone | +1 561-391-4441 |
| Fax | 5613914450 |
Authorized person
| Name | DAVID I LEVENSON |
| Role | PHYSICIAN |
| Phone | 5613944441 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME59003 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PROVIDER NUMBER |
| Number | 26775 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| VINIK, BRYAN S., M.D. | Agent | 1500 N.W. 10TH AVENUE, SUITE 205, BOCA RATON, FL 33486 |
| Name | Role | Address |
|---|---|---|
| VINIK, BRYAN MD | Director | 1500 NW 10TH AVENUE SUITE 205, BOCA RATON, FL 33486 |
| RODRIGUEZ, ROLANDO MD | Director | 1500 NW 10TH AVENUE SUITE 205, BOCA RATON, FL 33486 |
| LOSEVA, VICTORIA, M.D. | Director | 1500 NW 10TH AVENUE SUITE 205, BOCA RATON, FL 33486 |
| ROBINSON, IRINA M.D. | Director | 1500 NW 10TH AVENUE SUITE 205, BOCA RATON, FL 33486 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2021-08-09 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2021-08-09 | VINIK, BRYAN S., M.D. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-08-09 | 1500 N.W. 10TH AVENUE, SUITE 205, BOCA RATON, FL 33486 | No data |
| NAME CHANGE AMENDMENT | 2001-08-24 | EAST COAST MEDICAL ASSOCIATES, INC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-09 |
| ANNUAL REPORT | 2023-03-02 |
| ANNUAL REPORT | 2022-04-06 |
| Amendment | 2021-08-09 |
| ANNUAL REPORT | 2021-02-09 |
| ANNUAL REPORT | 2020-05-20 |
| ANNUAL REPORT | 2019-04-18 |
| ANNUAL REPORT | 2018-03-27 |
| ANNUAL REPORT | 2017-04-17 |
| ANNUAL REPORT | 2016-01-20 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
