| Entity Name: | PALM COAST SURGICAL ASSOCIATES, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 12 May 1999 (26 years ago) |
| Document Number: | P99000044221 |
| FEI/EIN Number | 650918253 |
| Address: | 9868 state road 7, boynton beach, FL, 33472, US |
| Mail Address: | 9868 STATE ROAD 7, SUITE 300, BOYNTON BEACH, FL, 33472, US |
| ZIP code: | 33472 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053631556 | 2010-06-07 | 2010-06-07 | 229 GEORGE BUSH BLVD, DELRAY BEACH, FL, 334444034, US | 229 GEORGE BUSH BLVD, DELRAY BEACH, FL, 334444034, US | |||||||||||||||
|
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| Phone | +1 561-272-1234 |
| Fax | 5612742060 |
Authorized person
| Name | DR. PAUL F HYLAND |
| Role | PRESIDENT |
| Phone | 5612721234 |
Taxonomy
| Taxonomy Code | 208600000X - Surgery Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| breslaw ralph F | Agent | 9868 STATE ROAD 7, BOYNTON BEACH, FL, 33472 |
| Name | Role | Address |
|---|---|---|
| breslaw ralph B | Vice President | 9868 state road 7, boynton beach, FL, 33472 |
| Name | Role | Address |
|---|---|---|
| breslaw ralph B | Director | 9868 state road 7, boynton beach, FL, 33472 |
| RODRIGUEZ PIMENTEL ARIEL E | Director | 2281 NW 36TH STREET, BOCA RATON, FL, 33431 |
| FARESI MARIANO | Director | 11766 FOXBRIER LAKE TRAIL, BOYNTON BEACH, FL, 33473 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2022-06-24 | No data | No data |
| AMENDMENT | 2019-09-03 | No data | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
