Detail by Officer/Registered Agent Name
Florida Not For Profit Corporation
PHYSICIANS CHOICE IPA, INC.
Filing Information
N96000002105
N/A
04/17/1996
FL
INACTIVE
ADMIN DISSOLUTION FOR ANNUAL REPORT
09/22/2000
NONE
Principal Address
Changed: 09/12/1997
% DR B. DAVIS
951 NW 15TH ST #2A
BOCA RATON, FL 33486
951 NW 15TH ST #2A
BOCA RATON, FL 33486
Changed: 09/12/1997
Mailing Address
Changed: 09/12/1997
% DR B. DAVIS
951 NW 13TH ST #2A
BOCA RATON, FL 33486
951 NW 13TH ST #2A
BOCA RATON, FL 33486
Changed: 09/12/1997
Registered Agent Name & Address
FIELDS, GARY D
4400 PGA BOULEVARD
SUITE 700 - ADMIRALTY TOWER
PALM BEACH GARDENS, FL 33410
SUITE 700 - ADMIRALTY TOWER
PALM BEACH GARDENS, FL 33410
Officer/Director Detail
Name & Address
Title SD
BLANCO, JACK M.D.
Title D
BREUER, NICOLAS RM.D.
Title D
DAVIS, BARRY M.D.
Title CD
GELFMAN, CHARLES M.D.
Title PD
HEVERT, DAVID BM.D.
Title TD
PROSCIA, VITO M.D.
Title SD
BLANCO, JACK M.D.
951 N.W. 13TH STREET
BOCA RATON, FL 33486
BOCA RATON, FL 33486
Title D
BREUER, NICOLAS RM.D.
1000 N.W. 9TH COURT, SUITE 102
BOCA RATON, FL 33486
BOCA RATON, FL 33486
Title D
DAVIS, BARRY M.D.
951 N.W. 13TH STREET
BOCA RATON, FL 33486
BOCA RATON, FL 33486
Title CD
GELFMAN, CHARLES M.D.
801 MEADOWS ROAD
BOCA RATON, FL 33486
BOCA RATON, FL 33486
Title PD
HEVERT, DAVID BM.D.
900 GLADES ROAD, 4TH FLOOR
BOCA RATON, FL 33431
BOCA RATON, FL 33431
Title TD
PROSCIA, VITO M.D.
1001 N.W. 13TH STREET
BOCA RATON, FL 33486
BOCA RATON, FL 33486
Annual Reports
Report Year | Filed Date |
1997 | 09/12/1997 |
1998 | 02/10/1998 |
1999 | 05/08/1999 |
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