| Entity Name: | POLO MEDICAL CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 13 Nov 1996 (28 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | P96000092884 |
| FEI/EIN Number | 650729496 |
| Mail Address: | 16047 VIA MONTEVERDE, DELRAY BEACH, FL, 33446 |
| Address: | 15127 JOG ROAD, DELRAY BEACH, FL, 33446 |
| ZIP code: | 33446 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245635978 | 2014-10-23 | 2014-10-23 | 1501 PRESIDENTIAL WAY STE 19, WEST PALM BEACH, FL, 334011852, US | 1501 PRESIDENTIAL WAY STE 19, WEST PALM BEACH, FL, 334011852, US | |||||||||||||||||||||||
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| Phone | +1 561-686-3201 |
Authorized person
| Name | BRUCE OSLER |
| Role | PRESIDENT |
| Phone | 5616863201 |
Taxonomy
| Taxonomy Code | 111NR0400X - Rehabilitation Chiropractor |
| License Number | CH0007758 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | LICENSE |
| Number | CH0007758 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| TURKELL BARBARA D | Agent | 16047 VIA MONTEVERDE, DELRAY BEACH, FL, 33446 |
| Name | Role | Address |
|---|---|---|
| WHITE PAT W | President | 16047 VIA MONTEVERDE, DELRAY BEACH, FL, 33446 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| AMENDMENT | 2014-11-20 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-05-01 | 15127 JOG ROAD, DELRAY BEACH, FL 33446 | No data |
| CHANGE OF MAILING ADDRESS | 2007-04-16 | 15127 JOG ROAD, DELRAY BEACH, FL 33446 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-04-16 | 16047 VIA MONTEVERDE, DELRAY BEACH, FL 33446 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-02-25 |
| Amendment | 2014-11-20 |
| ANNUAL REPORT | 2014-04-21 |
| ANNUAL REPORT | 2013-04-29 |
| ANNUAL REPORT | 2012-04-09 |
| ANNUAL REPORT | 2011-01-07 |
| ANNUAL REPORT | 2010-04-01 |
| ANNUAL REPORT | 2009-01-12 |
| ANNUAL REPORT | 2008-05-01 |
| ANNUAL REPORT | 2007-04-16 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
