| Entity Name: | BOCA MEDICAL SPECIALISTS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
BOCA MEDICAL SPECIALISTS, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 20 Sep 1999 (26 years ago) |
| Document Number: | P99000083960 |
| FEI/EIN Number |
650951322
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Mail Address: | 265 BROOKVIEW CENTRE WAY, SUITE 203, KNOXVILLE, TN, 37919, US |
| Address: | 1643 NW 136TH AVE, BUILDING H, SUITE 100, Sunrise, FL, 33323, US |
| ZIP code: | 33323 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265453419 | 2006-07-22 | 2017-12-06 | 5870 HIATUS RD STE 200, TAMARAC, FL, 333216424, US | 5870 HIATUS RD STE 200, TAMARAC, FL, 333216424, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 954-377-3172 |
| Fax | 8775194595 |
| Phone | +1 561-588-4844 |
| Fax | 5615884844 |
Authorized person
| Name | MR. STEPHEN G HOLTZCLAW |
| Role | PRESIDENT |
| Phone | 8652935310 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 208M00000X - Hospitalist Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 002107800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY | Agent | - |
| UPPAL ROHIT M | Director | 1643 NW 136TH AVE, Sunrise, FL, 33323 |
| STAIR JOHN | ASSI | 265 BROOKVIEW CENTRE WAY, SUITE 203, KNOXVILLE, TN, 37919 |
| BARRACK JOHN | ASSI | 265 BROOKVIEW CENTRE WAY, SUITE 203, KNOXVILLE, TN, 37919 |
| Corvini Michael | Vice President | 265 BROOKVIEW CENTRE WAY, SUITE 203, KNOXVILLE, TN, 37919 |
| Evans Rob | Vice President | 265 BROOKVIEW CENTRE WAY, SUITE 203, KNOXVILLE, TN, 37919 |
| Leone Alice M | Treasurer | 265 BROOKVIEW CENTRE WAY, SUITE 203, KNOXVILLE, TN, 37919 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-04-08 | 1643 NW 136TH AVE, BUILDING H, SUITE 100, Sunrise, FL 33323 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-12 | 1643 NW 136TH AVE, BUILDING H, SUITE 100, Sunrise, FL 33323 | - |
| REGISTERED AGENT NAME CHANGED | 2006-11-09 | CORPORATION SERVICE COMPANY | - |
| REGISTERED AGENT ADDRESS CHANGED | 2006-11-09 | 1201 HAYS STREET, TALLAHASSEE, FL 32301-2525 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-08 |
| ANNUAL REPORT | 2023-04-10 |
| ANNUAL REPORT | 2022-04-12 |
| ANNUAL REPORT | 2021-04-09 |
| ANNUAL REPORT | 2020-06-04 |
| ANNUAL REPORT | 2019-04-10 |
| ANNUAL REPORT | 2018-06-26 |
| ANNUAL REPORT | 2017-04-11 |
| ANNUAL REPORT | 2016-04-21 |
| ANNUAL REPORT | 2015-04-14 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
