| Entity Name: | CASEY G. BOYER, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 14 Mar 1991 (34 years ago) |
| Document Number: | S38481 |
| FEI/EIN Number | 65-0253859 |
| Address: | 4800 HIGHWAY A1A, UNIT 210, VERO BEACH, FL 32963 |
| Mail Address: | 4800 HIGHWAY A1A, UNIT 210, VERO BEACH, FL 32963 |
| ZIP code: | 32963 |
| County: | Indian River |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225352594 | 2010-03-16 | 2010-03-16 | 5511 S CONGRESS AVE, STE. 115, ATLANTIS, FL, 334621140, US | 5511 S CONGRESS AVE, STE. 115, ATLANTIS, FL, 334621140, US | |||||||||||||||||||
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| Phone | +1 561-968-9003 |
| Fax | 5619683334 |
Authorized person
| Name | DR. CASEY GORDON BOYER |
| Role | PRESIDENT |
| Phone | 5619689003 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | 0056169 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BOYER, CASEY G. | Agent | 4800 HIGHWAY A1A, UNIT 210, VERO BEACH, FL 32963 |
| Name | Role | Address |
|---|---|---|
| BOYER, CASEY G. | DR. | 4800 HIGHWAY A1A, UNIT 210 VERO BEACH, FL 32963 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-06 | 4800 HIGHWAY A1A, UNIT 210, VERO BEACH, FL 32963 | No data |
| CHANGE OF MAILING ADDRESS | 2023-03-06 | 4800 HIGHWAY A1A, UNIT 210, VERO BEACH, FL 32963 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-06 | 4800 HIGHWAY A1A, UNIT 210, VERO BEACH, FL 32963 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-02 |
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-03-06 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-02-09 |
| ANNUAL REPORT | 2020-01-21 |
| ANNUAL REPORT | 2019-01-29 |
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-01-10 |
| ANNUAL REPORT | 2016-01-26 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 4344847404 | 2020-05-08 | 0455 | PPP | 5511 S CONGRESS AVE STE 115, LAKE WORTH, FL, 33462-1140 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5778878400 | 2021-02-09 | 0455 | PPS | 5511 S Congress Ave Ste 115, Lake Worth, FL, 33462-1140 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 03 Feb 2025
Sources: Florida Department of State
