Entity Name: | OSCAR W. FARRONAY, M.D., P.A. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 22 Nov 2002 (22 years ago) |
Document Number: | P02000124771 |
FEI/EIN Number | 010755204 |
Address: | 5210 LINTON BLVD, 204, DELRAY BEACH, FL, 33484 |
Mail Address: | 5210 LINTON BLVD, 204, DELRAY BEACH, FL, 33484 |
ZIP code: | 33484 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1114914710 | 2005-09-29 | 2012-09-28 | 5210 LINTON BLVD STE 204, DELRAY BEACH, FL, 334846537, US | 5210 LINTON BLVD STE 204, DELRAY BEACH, FL, 334846537, US | |||||||||||||||||||
|
Phone | +1 561-638-3839 |
Fax | 5616383379 |
Authorized person
Name | OSCAR W FARRONAY |
Role | MEDICAL DIRECTOR |
Phone | 5616383839 |
Taxonomy
Taxonomy Code | 2084N0400X - Neurology Physician |
License Number | ME83287 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
MIQUEL ALBERTO | Agent | 5100 SOUTH DRIVE HWY, WEST PALM BEACH, FL, 33405 |
Name | Role | Address |
---|---|---|
FARRONAY OSCAR W | Manager | 5210 LINTON BLVD, SUITE 204, DELRAY BEACH, FL, 33484 |
Name | Role | Address |
---|---|---|
FARRONAY OSCAR W | Director | 5210 LINTON BLVD, SUITE 204, DELRAY BEACH, FL, 33484 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CANCEL ADM DISS/REV | 2004-12-06 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2003-09-19 | No data | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State