| Entity Name: | HEMATOLOGY AND MEDICAL ONCOLOGY OF SOUTHERN PALM BEACH COUNTY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 15 Dec 1998 (26 years ago) |
| Document Number: | P98000104300 |
| FEI/EIN Number | 650898771 |
| Address: | 2623 SOUTH SEACREST BLVD, 216, BOYNTON BEACH, FL, 33435 |
| Mail Address: | 2623 SOUTH SEACREST BLVD, 216, BOYNTON BEACH, FL, 33435 |
| ZIP code: | 33435 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437157062 | 2005-07-08 | 2022-07-21 | 2623 S SEACREST BLVD, SUITE 216, BOYNTON BEACH, FL, 334357501, US | 2623 S SEACREST BLVD, SUITE 216, BOYNTON BEACH, FL, 334357501, US | |||||||||||||||||
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| Phone | +1 561-742-0065 |
| Fax | 5617420105 |
Authorized person
| Name | ROGILIO A BRITO |
| Role | OWNER |
| Phone | 5617420065 |
Taxonomy
| Taxonomy Code | 207RH0003X - Hematology & Oncology Physician |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HEMATOLOGY AND MEDICAL ONCOLOGY OF SOUTHERN PALM BEACH COUNTY PROFIT SHARING PLAN | 2013 | 650898771 | 2014-07-02 | HEMATOLOGY AND MEDICAL ONCOLOGY OF SOUTHERN PALM BEACH COUNTY, INC. | 33 | |||||||||||||
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| Name | Role | Address |
|---|---|---|
| KENNEDY KAREN | Agent | 2623 SOUTH SEACREST BLVD, BOYNTON BEACH, FL, 33435 |
| Name | Role | Address |
|---|---|---|
| BRITO ROGELIO A | Director | 2628 S SEACREST BLVD STE 216, BOYNTON BEACH, FL, 33435 |
| Name | Role | Address |
|---|---|---|
| BRITO ROGELIO A | President | 2628 S SEACREST BLVD STE 216, BOYNTON BEACH, FL, 33435 |
| Name | Role | Address |
|---|---|---|
| BRITO ROGELIO A | Secretary | 2628 S SEACREST BLVD STE 216, BOYNTON BEACH, FL, 33435 |
| Name | Role | Address |
|---|---|---|
| Rodriguez-Pinero Felix Dr. | Officer | 2623 South Seacrest Blvd, Boynton Beach, FL, 33435 |
| Bohrer Mindy S | Officer | 2623 South Seacrest Blvd., Boynton Beach, FL, 33435 |
| Name | Role | Address |
|---|---|---|
| VILLA JACY | Vice President | 2623 S. SEACREST BLVD., SUIT 216, BOYNTON BEACH, FL, 33435 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2018-04-05 | No data | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
