| Entity Name: | BRUCE L. SALTZ, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 13 Apr 1992 (33 years ago) |
| Last Event: | AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 03 Jul 2002 (23 years ago) |
| Document Number: | V29492 |
| FEI/EIN Number | 65-0325808 |
| Address: | 4800 N. FEDERAL HIGHWAY, SUITE E-102, BOCA RATON, FL 33431 |
| Mail Address: | 4800 N. FEDERAL HIGHWAY, SUITE E-102, BOCA RATON, FL 33431 |
| ZIP code: | 33431 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235177213 | 2006-06-03 | 2018-08-17 | 4800 N FEDERAL HWY, SUITE 102E, BOCA RATON, FL, 334315188, US | 4800 N FEDERAL HWY, SUITE 102E, BOCA RATON, FL, 334315188, US | |||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 561-368-8430 |
| Fax | 5613625575 |
Authorized person
| Name | MS. FEBE DINO |
| Role | OFFICE MANAGER/ASSISTANT ACCOUNTANT |
| Phone | 5613688430 |
Taxonomy
| Taxonomy Code | 103TB0200X - Cognitive & Behavioral Psychologist |
| License Number | PY7917 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | ME0056515 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 2084P0805X - Geriatric Psychiatry Physician |
| License Number | ME0056515 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 364SP0808X - Psychiatric/Mental Health Clinical Nurse Specialist |
| License Number | ARNP 2623662 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | BC/BS FL GROUP NO. |
| Number | 40240 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BRUCE L. SALTZ, M.D., P.A. 401(K) PROFIT SHARING PLAN | 2023 | 650325808 | 2024-04-25 | BRUCE L. SALTZ, M.D., P.A. | 3 | |||||||||||||
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| BRUCE L. SALTZ, M.D., P.A. 401(K) PROFIT SHARING PLAN | 2022 | 650325808 | 2023-05-02 | BRUCE L. SALTZ, M.D., P.A. | 3 | |||||||||||||
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| BRUCE L. SALTZ, M.D., P.A. 401(K) PROFIT SHARING PLAN | 2021 | 650325808 | 2022-08-29 | BRUCE L. SALTZ, M.D., P.A. | 3 | |||||||||||||
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| Name | Role | Address |
|---|---|---|
| SALTZ, BRUCE L | Agent | 4800 N. FEDERAL HIGHWAY, SUITE E-102, BOCA RATON, FL 33431 |
| Name | Role | Address |
|---|---|---|
| SALTZ, BRUCE L. | President | 4800 N., FEDERAL HWY SUITE 102E BOCA RATON, FL 33481 |
| SALTZ, BRUCE L | President | 4800 N., FEDERAL HWY SUITE 102E BOCA RATON, FL 33481 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2011-02-27 | SALTZ, BRUCE L | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-02-27 | 4800 N. FEDERAL HIGHWAY, SUITE E-102, BOCA RATON, FL 33431 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2005-11-17 | 4800 N. FEDERAL HIGHWAY, SUITE E-102, BOCA RATON, FL 33431 | No data |
| CHANGE OF MAILING ADDRESS | 2005-11-17 | 4800 N. FEDERAL HIGHWAY, SUITE E-102, BOCA RATON, FL 33431 | No data |
| AMENDMENT AND NAME CHANGE | 2002-07-03 | BRUCE L. SALTZ, M.D., P.A. | No data |
| AMENDMENT AND NAME CHANGE | 1998-02-24 | SALTZ AND STEINBERG, M.D., P.A. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-23 |
| ANNUAL REPORT | 2023-01-29 |
| ANNUAL REPORT | 2022-01-23 |
| ANNUAL REPORT | 2021-01-29 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-02-10 |
| ANNUAL REPORT | 2018-01-13 |
| ANNUAL REPORT | 2017-03-04 |
| ANNUAL REPORT | 2016-01-28 |
| ANNUAL REPORT | 2015-01-11 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
