| Entity Name: | MARC L. LEVINE, M.D., F.A.C.C., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 10 Apr 2002 (23 years ago) |
| Document Number: | P02000038713 |
| FEI/EIN Number | 043638397 |
| Mail Address: | 7135 BRUNSWICK CIRCLE, BOYNTON BEACH, FL, 33472 |
| Address: | 7135 BRUNSWICK CIRCLE, BOYNTON BEACH, FL, 33472, US |
| ZIP code: | 33472 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053516047 | 2007-06-19 | 2007-09-05 | 7135 BRUNSWICK CIR, BOYNTON BEACH, FL, 334372539, US | 8200 JOG RD, 205, BOYNTON BEACH, FL, 334722981, US | |||||||||||||||||||
|
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| Phone | +1 561-732-6767 |
| Fax | 5617326701 |
Authorized person
| Name | DR. MARC L LEVINE |
| Role | OWNER |
| Phone | 5617326767 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME78197 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| SPIEGEL & UTRERA, P.A. | Agent |
| Name | Role | Address |
|---|---|---|
| LEVINE MARC L | President | 7135 BRUNSWICK CIRCLE, BOYNTON BEACH, FL, 33472 |
| Name | Role | Address |
|---|---|---|
| LEVINE MARC L | Secretary | 7135 BRUNSWICK CIRCLE, BOYNTON BEACH, FL, 33472 |
| Name | Role | Address |
|---|---|---|
| LEVINE MARC L | Treasurer | 7135 BRUNSWICK CIRCLE, BOYNTON BEACH, FL, 33472 |
| Name | Role | Address |
|---|---|---|
| LEVINE MARC L | Director | 7135 BRUNSWICK CIRCLE, BOYNTON BEACH, FL, 33472 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2016-01-25 | 7135 BRUNSWICK CIRCLE, BOYNTON BEACH, FL 33472 | No data |
| CHANGE OF MAILING ADDRESS | 2008-01-25 | 7135 BRUNSWICK CIRCLE, BOYNTON BEACH, FL 33472 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-26 |
| ANNUAL REPORT | 2023-02-01 |
| ANNUAL REPORT | 2022-02-14 |
| ANNUAL REPORT | 2021-01-13 |
| ANNUAL REPORT | 2020-02-12 |
| ANNUAL REPORT | 2019-02-26 |
| ANNUAL REPORT | 2018-01-22 |
| ANNUAL REPORT | 2017-02-08 |
| ANNUAL REPORT | 2016-01-25 |
| ANNUAL REPORT | 2015-02-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
