| Entity Name: | BOCA PODIATRY GROUP, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 13 Jul 1993 (32 years ago) |
| Document Number: | P93000050637 |
| FEI/EIN Number | 65-0425180 |
| Address: | 1353 W. PALMETTO PARK RD., BOCA RATON, FL 33487 |
| Mail Address: | 1353 W. PALMETTO PARK RD., BOCA RATON, FL 33487 |
| ZIP code: | 33487 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902968860 | 2006-12-15 | 2011-10-31 | 1353 W PALMETTO PARK RD, BOCA RATON, FL, 334863303, US | 1353 W PALMETTO PARK RD, BOCA RATON, FL, 334863303, US | |||||||||||||||||||||||||
|
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| Phone | +1 561-750-3060 |
| Fax | 5617503011 |
Authorized person
| Name | DR. PAUL ALAN SOMMER |
| Role | PRESIDENT |
| Phone | 5617503060 |
Taxonomy
| Taxonomy Code | 213ES0131X - Foot Surgery Podiatrist |
| License Number | PO2245 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 390091600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SOMMER, PAUL | Agent | 1353 W. PALMETTO PARK RD., BOCA RATON, FL 33487 |
| Name | Role | Address |
|---|---|---|
| SOMMER, PAUL | Director | 1353 W. PALMETTO PARK RD., BOCA RATON, FL 33487 |
| Name | Role | Address |
|---|---|---|
| SOMMER, PAUL | President | 1353 W. PALMETTO PARK RD., BOCA RATON, FL 33487 |
| Name | Role | Address |
|---|---|---|
| Sommer, Peeraya | Secretary | 11809 Bayfield Drive, Boca Raton, FL 33498 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-20 | 1353 W. PALMETTO PARK RD., BOCA RATON, FL 33487 | No data |
| REGISTERED AGENT NAME CHANGED | 1996-04-25 | SOMMER, PAUL | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-20 |
| ANNUAL REPORT | 2023-02-21 |
| ANNUAL REPORT | 2022-04-20 |
| ANNUAL REPORT | 2021-02-16 |
| ANNUAL REPORT | 2020-01-23 |
| ANNUAL REPORT | 2019-04-17 |
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-02-15 |
| ANNUAL REPORT | 2016-04-25 |
| ANNUAL REPORT | 2015-04-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
