Entity Name: | JANET MARLEY, M.D., P.A. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 01 Dec 1976 (48 years ago) |
Document Number: | 519961 |
FEI/EIN Number | 591707715 |
Address: | 5516 HANLEY ROAD, TAMPA, FL, 33634 |
Mail Address: | 5516 HANLEY ROAD, TAMPA, FL, 33634 |
ZIP code: | 33634 |
County: | Hillsborough |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1083732622 | 2007-03-26 | 2009-05-01 | 5516 HANLEY RD, TAMPA, FL, 336344904, US | 5516 HANLEY RD, TAMPA, FL, 336344904, US | |||||||||||||||||||
|
Phone | +1 813-885-1418 |
Fax | 8138866731 |
Authorized person
Name | LINDA FIDLER |
Role | OFFICE MANAGER |
Phone | 8138851418 |
Taxonomy
Taxonomy Code | 174400000X - Specialist |
License Number | ME0026208 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
ROSE, ELI L. | Agent | 5516 HANLEY ROAD, TAMPA, FL, 33634 |
Name | Role | Address |
---|---|---|
MARLEY, JANET | Treasurer | 5516 HANLEY ROAD, TAMPA, FL, 33634 |
Name | Role | Address |
---|---|---|
MARLEY, JANET | Director | 5516 HANLEY ROAD, TAMPA, FL, 33634 |
ROSE, ELI L | Director | 5516 HANLEY ROAD, TAMPA, FL, 33634 |
Name | Role | Address |
---|---|---|
ROSE, ELI L | President | 5516 HANLEY ROAD, TAMPA, FL, 33634 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
VOLUNTARY DISSOLUTION | 2014-01-14 | No data | No data |
NAME CHANGE AMENDMENT | 2006-08-04 | JANET MARLEY, M.D., P.A. | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State