| Entity Name: | PALM BEACH CHILDREN'S ASSOCIATES, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
PALM BEACH CHILDREN'S ASSOCIATES, P.A. 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: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 13 Sep 1990 (35 years ago) |
| Date of dissolution: | 22 Jan 2015 (10 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 22 Jan 2015 (10 years ago) |
| Document Number: | S02770 |
| FEI/EIN Number |
650225549
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1860 FOREST HILL BLVD STE 102, WEST PALM BEACH, FL, 33406 |
| Mail Address: | 1860 FOREST HILL BLVD STE 102, WEST PALM BEACH, FL, 33406 |
| ZIP code: | 33406 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871714394 | 2007-05-01 | 2020-08-22 | 1860 FOREST HILL BLVD, STE 102, WEST PALM BEACH, FL, 334066086, US | 1860 FOREST HILL BLVD, STE 102, WEST PALM BEACH, FL, 334066086, US | |||||||||||||||||||||||||||||||
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| Phone | +1 561-641-6000 |
| Fax | 5616416006 |
Authorized person
| Name | DR. CONRAD VALENTINO WYNNE JR. |
| Role | PRESIDENT |
| Phone | 5616416000 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | ME 0055058 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AETNA |
| Number | 015509 |
| State | FL |
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 38361 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PALM BEACH CHILDREN'S 401(K) PLAN | 2014 | 650225549 | 2015-02-17 | PALM BEACH CHILDREN'S ASSOCIATES, P.A. | 5 | |||||||||||||||||||||||||||||||||
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| PALM BEACH CHILDREN'S 401(K) PLAN | 2013 | 650225549 | 2014-07-01 | PALM BEACH CHILDREN'S ASSOCIATES, P.A. | 5 | |||||||||||||||||||||||||||||||||
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| PALM BEACH CHILDREN'S 401(K) PLAN | 2012 | 650225549 | 2013-07-29 | PALM BEACH CHILDREN'S ASSOCIATES, P.A. | 7 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2013-07-29 |
| Name of individual signing | CONRAD WYNNE |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2013-07-29 |
| Name of individual signing | CONRAD WYNNE |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| WYNNE, CONRAD V., JR. | Director | 1860 FOREST HILL BLVD STE 102, WEST PALM BEACH, FL, 33406 |
| BLAND, REGINA S. | Director | 1860 FOREST HILL BLVD STE 102, WEST PALM BEACH, FL, 33406 |
| WYNNE, CONRAD V., JR., M.D. | Agent | 1860 FOREST HILL BLVD, WEST PALM BEACH, FL, 33406 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2015-01-22 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2010-01-09 | 1860 FOREST HILL BLVD STE 102, WEST PALM BEACH, FL 33406 | - |
| CHANGE OF MAILING ADDRESS | 2010-01-09 | 1860 FOREST HILL BLVD STE 102, WEST PALM BEACH, FL 33406 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2004-01-16 | 1860 FOREST HILL BLVD, SUITE 102, WEST PALM BEACH, FL 33406 | - |
| NAME CHANGE AMENDMENT | 1990-12-26 | PALM BEACH CHILDREN'S ASSOCIATES, P.A. | - |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2015-01-22 |
| ANNUAL REPORT | 2014-01-13 |
| ANNUAL REPORT | 2013-01-15 |
| ANNUAL REPORT | 2012-02-13 |
| ANNUAL REPORT | 2011-03-24 |
| ANNUAL REPORT | 2010-01-09 |
| ANNUAL REPORT | 2009-02-16 |
| ANNUAL REPORT | 2008-03-04 |
| ANNUAL REPORT | 2007-01-05 |
| ANNUAL REPORT | 2006-02-24 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
