| Entity Name: | J.M. PROVENZANO, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 12 Apr 1989 (36 years ago) |
| Document Number: | K79706 |
| FEI/EIN Number | 650108738 |
| Address: | 1921 SW 36TH AVE, DELRAY BEACH, FL, 33445, US |
| Mail Address: | 1921 SW 36TH AVE, DELRAY BEACH, FL, 33445, US |
| ZIP code: | 33445 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| MORSE WILLIAM M | Agent | 7469 Viale Michelangelo, Delray Beach, FL, 33446 |
| Name | Role | Address |
|---|---|---|
| Provenzano Monika | Director | 1921 SW 36TH AVE, DELRAY BEACH, FL, 33445 |
| Name | Role | Address |
|---|---|---|
| PROVENZANO, JOSEPH M. | President | 1921 SW 36th Ave, Delray Beach, FL, 33445 |
| Name | Role | Address |
|---|---|---|
| Provenzano Joseph SEsq. | Officer | 1921 SW 36 th Ave, Delray Beach, FL, 33445 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
