| Entity Name: | PARDO, FORSTOT, BACA & ALBOUKREK, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 13 Apr 1992 (33 years ago) |
| Document Number: | V29151 |
| FEI/EIN Number | 650336999 |
| Address: | 1050 NW 15TH ST, 212 A, BOCA RATON, FL, 33486 |
| Mail Address: | 1050 NW 15TH ST, 212 A, BOCA RATON, FL, 33486 |
| ZIP code: | 33486 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376646240 | 2006-09-06 | 2008-05-02 | 1050 NW 15TH ST, SUITE 208A, BOCA RATON, FL, 334861375, US | 5162 LINTON BLVD, SUITE 101, DELRAY BEACH, FL, 334846567, US | |||||||||||||||
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| Phone | +1 561-498-1114 |
| Fax | 5614988338 |
Authorized person
| Name | IRA PARDO |
| Role | OWNER |
| Phone | 5613682125 |
Taxonomy
| Taxonomy Code | 207RR0500X - Rheumatology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DELUCA ANNETTE | Agent | 1838 NW 9th St, Boca Raton, FL, 33486 |
| Name | Role | Address |
|---|---|---|
| BACA SHAWN | Director | 17746 Lake Azure Way, BOCA RATON, FL, 33496 |
| FORSTOT JOSEPH | Director | 711 PARKSIDE CIR N, BOCA RATON, FL, 33496 |
| ALBOUKREK DAVID | Director | 8596 Sunbeam Mountain Terrace, Boynton Beach, FL, 33473 |
| ULLRICH KOREY | Director | 6309 NW 23RD STREET, BOCA RATON, FL, 33434 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000070076 | RHEUMATOLOGY ASSOCIATES OF SOUTH FLORIDA | EXPIRED | 2013-07-12 | 2018-12-31 | No data | 1050 NW 15TH ST, SUITE 212A, BOCA RATON, FL, 33486 |
| G95177000291 | OSTEOPOROSIS DIAGNOSTIC AND TREATMENT CENTER OF SOUTH FLORIDA | ACTIVE | 1995-06-26 | 2025-12-31 | No data | 1050 NW 15TH STREET, SUITE 212A, BOCA RATON, FL, 33486 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2014-08-11 | No data | No data |
| NAME CHANGE AMENDMENT | 2001-09-14 | PARDO, FORSTOT, BACA & ALBOUKREK, P.A. | No data |
| NAME CHANGE AMENDMENT | 1998-02-24 | PARDO, FORSTOT & BACA, P.A. | No data |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
