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WILLIAM I. ROTH, M.D., P.A. - Florida Company Profile

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Company Details

Entity Name: WILLIAM I. ROTH, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 14 Mar 1996 (29 years ago)
Document Number: P96000023340
FEI/EIN Number 650657207
Address: 10075 JOG ROAD, STE 206, BOYNTON BCH, FL, 33437, US
Mail Address: 6301 Graycliff Dr Apt B, BOCA RATON, FL, 33496-3319, US
ZIP code: 33437
City: Boynton Beach
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
ROTH WILLIAM I Director 6301B Graycliff Dr., BOCA RATON, FL, 33496
HARK CLIFFORD B Agent 2000 Glades Road, Suite 110, BOCA RATON, FL, 33431

National Provider Identifier

NPI Number:
1235309535

Authorized Person:

Name:
DR. WILLIAM I ROTH
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
Yes

Contacts:

Fax:
5617314419

Form 5500 Series

Employer Identification Number (EIN):
650657207
Plan Year:
2016
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
9
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2022-01-30 10075 JOG ROAD, STE 206, BOYNTON BCH, FL 33437 -
REGISTERED AGENT ADDRESS CHANGED 2020-01-26 2000 Glades Road, Suite 110, BOCA RATON, FL 33431 -
CHANGE OF PRINCIPAL ADDRESS 2006-01-10 10075 JOG ROAD, STE 206, BOYNTON BCH, FL 33437 -

Documents

Name Date
ANNUAL REPORT 2025-01-23
ANNUAL REPORT 2024-01-22
ANNUAL REPORT 2023-01-18
ANNUAL REPORT 2022-01-30
ANNUAL REPORT 2021-01-27
ANNUAL REPORT 2020-01-26
ANNUAL REPORT 2019-01-20
ANNUAL REPORT 2018-01-05
ANNUAL REPORT 2017-01-03
ANNUAL REPORT 2016-01-22

Paycheck Protection Program

Jobs Reported:
8
Initial Approval Amount:
$97,700
Date Approved:
2020-04-06
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$97,700
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$98,351.73
Servicing Lender:
City National Bank of Florida
Use of Proceeds:
Payroll: $73,275
Utilities: $24,425

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Date of last update: 01 Aug 2025

Sources: Florida Department of State