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WAYNE N. EVANCHO, D.O.,P.A. - Florida Company Profile

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Company Details

Entity Name: WAYNE N. EVANCHO, D.O.,P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 01 Jul 2004 (21 years ago)
Document Number: P04000099839
FEI/EIN Number 342003073
Address: 1380 NE MIAMI GARDENS DR, SUITE 285, NORTH MIAMI BEACH, FL, 33179
Mail Address: 5811 CASTLEGATE AVE, DAVIE, FL, 33331
ZIP code: 33179
City: Miami
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
EVANCHO WAYNE N President 5811 CASTLEGATE AVE, DAVIE, FL, 33331
EVANCHO AMY Agent 7604 SOUTH SPARKMAN STREET, TAMPA, FL, 33616

National Provider Identifier

NPI Number:
1902066368

Authorized Person:

Name:
WAYNE EVANCHO
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
3059443006

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2011-04-26 7604 SOUTH SPARKMAN STREET, TAMPA, FL 33616 -
CHANGE OF PRINCIPAL ADDRESS 2006-04-27 1380 NE MIAMI GARDENS DR, SUITE 285, NORTH MIAMI BEACH, FL 33179 -

Documents

Name Date
ANNUAL REPORT 2024-02-21
ANNUAL REPORT 2023-03-15
ANNUAL REPORT 2022-04-12
ANNUAL REPORT 2021-03-11
ANNUAL REPORT 2020-04-14
ANNUAL REPORT 2019-04-09
ANNUAL REPORT 2018-04-05
ANNUAL REPORT 2017-04-07
ANNUAL REPORT 2016-04-14
ANNUAL REPORT 2015-03-26

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Date of last update: 03 Aug 2025

Sources: Florida Department of State