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JANET MARLEY, M.D., P.A.

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
ROSE, ELI L. Agent 5516 HANLEY ROAD, TAMPA, FL, 33634

Treasurer

Name Role Address
MARLEY, JANET Treasurer 5516 HANLEY ROAD, TAMPA, FL, 33634

Director

Name Role Address
MARLEY, JANET Director 5516 HANLEY ROAD, TAMPA, FL, 33634
ROSE, ELI L Director 5516 HANLEY ROAD, TAMPA, FL, 33634

President

Name Role Address
ROSE, ELI L President 5516 HANLEY ROAD, TAMPA, FL, 33634

Events

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