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OSCAR W. FARRONAY, M.D., P.A.

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
MIQUEL ALBERTO Agent 5100 SOUTH DRIVE HWY, WEST PALM BEACH, FL, 33405

Manager

Name Role Address
FARRONAY OSCAR W Manager 5210 LINTON BLVD, SUITE 204, DELRAY BEACH, FL, 33484

Director

Name Role Address
FARRONAY OSCAR W Director 5210 LINTON BLVD, SUITE 204, DELRAY BEACH, FL, 33484

Events

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