| Entity Name: | INJURY TREATMENT CENTER OF BOYNTON BEACH, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 12 Feb 1999 (26 years ago) |
| Document Number: | P99000014794 |
| FEI/EIN Number | 650904172 |
| Mail Address: | 1515 N FEDERAL HIGHWAY, BOCA RATON, FL, 33432, US |
| Address: | 1515 N Federal Highway, Boca Raton, FL, 33432, US |
| ZIP code: | 33432 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841631934 | 2013-07-17 | 2015-03-02 | 2295 NW CORPORATE BLVD, #245, BOCA RATON, FL, 334317373, US | 1325 S CONGRESS AVE, #105, BOYNTON BEACH, FL, 334265876, US | |||||||||||||||||||
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| Phone | +1 561-988-0545 |
| Phone | +1 561-736-8060 |
Authorized person
| Name | DR. NAVEED SHAFI |
| Role | PHYSICIAN |
| Phone | 5617368060 |
Taxonomy
| Taxonomy Code | 332900000X - Non-Pharmacy Dispensing Site |
| License Number | ME85328 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| PPMS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| Brown Gary | President | 1515 N Federal Highway, Boca Raton, FL, 33432 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J21000612790 | ACTIVE | 50-2018-SC-023999 | PALM BEACH COUNTY | 2021-11-30 | 2026-11-30 | $53186.26 | SCOTT DUTTON, 4621 NORTH MEMORIAL HIGHWAY, SUITE 110, TAMPA, FL 33634 |
| J21000274013 | ACTIVE | 2020CA009258AXX | PALM BEACH CIRCUIT COUNTY | 2021-01-07 | 2026-06-03 | $162,104.63 | SNH MEDICAL OFFICE PROPERTIES TRUST, TWO NEWTON PLACE, 255, WASHINGTON STREET, NEWTON, MA 02458 |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
