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NEIGHBORHOOD FAMILY DOCTOR, INC.

Company Details

Entity Name: NEIGHBORHOOD FAMILY DOCTOR, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 18 Mar 1999 (26 years ago)
Date of dissolution: 24 Mar 2008 (17 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 24 Mar 2008 (17 years ago)
Document Number: P99000025784
FEI/EIN Number 650904558
Address: 4777 N. CONGRESS AVE., BOYNTON BEACH, FL, 33462
Mail Address: 4777 N. CONGRESS AVE., LANTANA, FL, 33462
ZIP code: 33462
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1093915316 2007-07-24 2008-03-27 4949 S CONGRESS AVE, STE B, LAKE WORTH, FL, 334614731, US 4949 S CONGRESS AVE, STE B, LAKE WORTH, FL, 334614731, US

Contacts

Phone +1 561-969-1777

Authorized person

Name MR. ITA CAMPOS
Role ADMININSTRATIVE
Phone 5619691777

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
License Number ME63826
State FL
Is Primary Yes

Agent

Name Role Address
TREJO RUDOLFO Agent 4777 N. CONGRESS AVE., BOYNTON BEACH, FL, 33426

Vice President

Name Role Address
TREJO RODOLFO Vice President 4779 N CONGRESS AVE, BOYNTON BEACH, FL, 33426

Director

Name Role Address
TREJO RODOLFO Director 4779 N CONGRESS AVE, BOYNTON BEACH, FL, 33426
TREJO JULIO Director 21 E 61 ST, HIALEAH, FL, 33013

President

Name Role Address
TREJO JULIO President 21 E 61 ST, HIALEAH, FL, 33013

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2008-03-24 No data No data
AMENDMENT AND NAME CHANGE 2005-07-15 NEIGHBORHOOD FAMILY DOCTOR, INC. No data
CHANGE OF PRINCIPAL ADDRESS 2005-07-15 4777 N. CONGRESS AVE., BOYNTON BEACH, FL 33462 No data
REGISTERED AGENT ADDRESS CHANGED 2000-01-25 4777 N. CONGRESS AVE., BOYNTON BEACH, FL 33426 No data

Documents

Name Date
Voluntary Dissolution 2008-03-24
ANNUAL REPORT 2007-04-30
ANNUAL REPORT 2006-05-01
ANNUAL REPORT 2005-07-15
Amendment and Name Change 2005-07-15
ANNUAL REPORT 2005-05-02
ANNUAL REPORT 2004-05-03
ANNUAL REPORT 2003-04-21
ANNUAL REPORT 2002-07-23
ANNUAL REPORT 2001-04-25

Date of last update: 02 Feb 2025

Sources: Florida Department of State