| Entity Name: | POLYCLINIQUE DE WEST PALM BEACH, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 20 Nov 1997 (27 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 18 Jul 2005 (20 years ago) |
| Document Number: | P97000099030 |
| FEI/EIN Number | 65-0794069 |
| Address: | 734 BELVEDERE ROAD, WEST PALM BEACH, FL 33405 |
| Mail Address: | 734 BELVEDERE ROAD, WEST PALM BEACH, FL 33405 |
| ZIP code: | 33405 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821220682 | 2009-08-12 | 2015-03-16 | 734 BELVEDERE RD, WEST PALM BEACH, FL, 334051108, US | 734 BELVEDERE RD, WEST PALM BEACH, FL, 334051108, US | |||||||||||||||||||||||||||||||
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| Phone | +1 561-835-8385 |
| Fax | 5618354077 |
Authorized person
| Name | IRENE FIGARO |
| Role | OFFICE MANAGER |
| Phone | 5612763000 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME 43888 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | VISTA |
| Number | 95114 |
| State | FL |
| Issuer | MEDICAID |
| Number | 061819500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CADET, J. PIERRE PAUL | Agent | 734 BELVEDERE ROAD, WEST PALM BEACH, FL 33405 |
| Name | Role | Address |
|---|---|---|
| CADET, J. PIERRE PAUL | Director | 734 BELVEDERE ROAD, WEST PALM BEACH, FL 33405 |
| Name | Role | Address |
|---|---|---|
| CADET, JOSEPH PP, Dr. | President | 734 Belvedere Road, West Palm Beach, FL 33405 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2013-06-17 | 734 BELVEDERE ROAD, WEST PALM BEACH, FL 33405 | No data |
| CHANGE OF MAILING ADDRESS | 2013-06-17 | 734 BELVEDERE ROAD, WEST PALM BEACH, FL 33405 | No data |
| REINSTATEMENT | 2005-07-18 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2005-07-18 | 734 BELVEDERE ROAD, WEST PALM BEACH, FL 33405 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2003-09-19 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-29 |
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-06-15 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-04-28 |
| ANNUAL REPORT | 2016-04-30 |
| ANNUAL REPORT | 2015-04-30 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
