| Entity Name: | ROMUALDO J. SEGUROLA, JR. M.D.. P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
ROMUALDO J. SEGUROLA, JR. M.D.. P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 24 Feb 2003 (22 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 15 Jul 2014 (11 years ago) |
| Document Number: | P03000022064 |
| FEI/EIN Number |
331049892
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 100 NW 170 STREET, NORTH MIAMI BEACH, FL, 33169, US |
| Mail Address: | 100 NW 170 STREET, NORTH MIAMI BEACH, FL, 33169, US |
| ZIP code: | 33169 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477629707 | 2006-11-28 | 2019-09-26 | 3650 NW 82ND AVE, SUITE 208, DORAL, FL, 331666658, US | 3650 NW 82ND AVE, SUITE 208, DORAL, FL, 331666658, US | |||||||||||||||||||||||||||||
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| Phone | +1 305-406-3596 |
| Fax | 3054063599 |
Authorized person
| Name | KAREN ENGEN |
| Role | ADMINISTRATOR |
| Phone | 6126697173 |
Taxonomy
| Taxonomy Code | 207RI0011X - Interventional Cardiology Physician |
| Is Primary | Yes |
| Taxonomy Code | 2085R0204X - Vascular & Interventional Radiology Physician |
| Is Primary | No |
| Taxonomy Code | 208G00000X - Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 277084900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MARTINEZ-CLARK PEDRO | Chief Executive Officer | 100 NW 170 STREET, NORTH MIAMI BEACH, FL, 33169 |
| BARNETT HIBNICK CYNTHIA | Agent | 1 ALHAMBRA PLAZA, CORAL GABLES, FL, 33134 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000128284 | SOUTH FLORIDA HEART AND LUNG INSTITUTE | ACTIVE | 2015-12-18 | 2025-12-31 | - | 100 NW 170 STREET,, 305, MIAMI, FL, 33169 |
| G09021900148 | SOUTH FLORIDA HEART AND LUNG INSTITUTE | EXPIRED | 2009-01-19 | 2014-12-31 | - | 3650 NW 82ND AVENUE, DORAL, FL, 33166 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-15 | 100 NW 170 STREET, SUITE 305, NORTH MIAMI BEACH, FL 33169 | - |
| CHANGE OF MAILING ADDRESS | 2023-01-15 | 100 NW 170 STREET, SUITE 305, NORTH MIAMI BEACH, FL 33169 | - |
| REGISTERED AGENT NAME CHANGED | 2023-01-15 | BARNETT HIBNICK, CYNTHIA | - |
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-15 | 1 ALHAMBRA PLAZA, SUITE 1410, CORAL GABLES, FL 33134 | - |
| AMENDMENT | 2014-07-15 | - | - |
| AMENDMENT | 2014-07-11 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-19 |
| ANNUAL REPORT | 2023-01-15 |
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-06-19 |
| ANNUAL REPORT | 2019-02-11 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-10 |
| ANNUAL REPORT | 2016-03-01 |
| ANNUAL REPORT | 2015-04-22 |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PO | AWARD | DJBP0309KB230234 | 2012-09-25 | 2012-09-30 | 2012-09-30 | |||||||||||||||||||||
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| Title | MEDICAL SERVICES |
| NAICS Code | 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS) |
| Product and Service Codes | Q523: MEDICAL- SURGERY |
Recipient Details
| Recipient | ROMUALDO J. SEGUROLA, JR. M.D.. P.A. |
| UEI | CF9FDBEPH246 |
| Legacy DUNS | 007901264 |
| Recipient Address | 3650 NW 82ND AVE, DORAL, 331666658, UNITED STATES |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
