| Entity Name: | BOCA PALMS MEDICAL ASSOCIATES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 25 Feb 1999 (26 years ago) |
| Document Number: | P99000019092 |
| FEI/EIN Number | 650894649 |
| Address: | 200 CONGRESS PARK DRIVE, SUITE 100, DELRAY BEACH, FL, 33445 |
| Mail Address: | 200 CONGRESS PARK DRIVE, SUITE 100, DELRAY BEACH, FL, 33445 |
| ZIP code: | 33445 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033185707 | 2006-02-23 | 2020-08-22 | 200 CONGRESS PARK DR, SUITE 100, DELRAY BEACH, FL, 334454609, US | 200 CONGRESS PARK DR, SUITE 100, DELRAY BEACH, FL, 334454609, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 561-361-6608 |
| Fax | 5613619857 |
Authorized person
| Name | MR. PATRICK S KIRSE |
| Role | CHIEF FINANCIAL OFFICER |
| Phone | 5613616608 |
Taxonomy
| Taxonomy Code | 101YA0400X - Addiction (Substance Use Disorder) Counselor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KIRSE PATRICK S | Agent | 200 CONGRESS PARK DRIVE, DELRAY BEACH, FL, 33445 |
| Name | Role | Address |
|---|---|---|
| MANDOR ROBERT | Director | 200 CONGRESS PARK DRIVE, STE 100, DELRAY BEACH, FL, 33445 |
| Name | Role | Address |
|---|---|---|
| KIRSE PATRICK S | Vice President | 200 CONGRESS PARK DRIVE, STE 100, DELRAY BEACH, FL, 33445 |
| Name | Role | Address |
|---|---|---|
| KIRSE PATRICK S | Treasurer | 200 CONGRESS PARK DRIVE, STE 100, DELRAY BEACH, FL, 33445 |
| Name | Role | Address |
|---|---|---|
| CROSBY CHRISTOPHER | President | 200 CONGRESS PARK DRIVE STE 100, DELRAY BEACH, FL, 33445 |
| Name | Role | Address |
|---|---|---|
| CROSBY CHRISTOPHER | Secretary | 200 CONGRESS PARK DRIVE STE 100, DELRAY BEACH, FL, 33445 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| DISSOLVED BY COURT ORDER | 2021-08-31 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
