| Entity Name: | RAFAEL A. MUNNE, MD, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 07 Jun 2007 (18 years ago) |
| Document Number: | P07000067010 |
| FEI/EIN Number | 260315158 |
| Address: | 2318 NW BAY COLONY CT, STUART, FL, 34994, US |
| Mail Address: | 2318 NW BAY COLONY CT, STUART, FL, 34994, US |
| ZIP code: | 34994 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801081252 | 2007-09-10 | 2022-02-24 | 2318 NW BAY COLONY CT, STUART, FL, 349949129, US | 2318 NW BAY COLONY CT, STUART, FL, 349949129, US | |||||||||||||||||||
|
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| Phone | +1 772-323-4418 |
Authorized person
| Name | MRS. BARBARA HELEN SCHAAL-MUNNE |
| Role | WIFE |
| Phone | 7723234418 |
Taxonomy
| Taxonomy Code | 283Q00000X - Psychiatric Hospital |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 275140200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MUNNE RAFAEL AMD | Agent | 2318 NW BAY COLONY CT, STUART, FL, 34994 |
| Name | Role | Address |
|---|---|---|
| Schaal-Munne Barbara H | RN | 2318 NW BAY COLONY CT, STUART, FL, 34994 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-12 | 2318 NW BAY COLONY CT, STUART, FL 34994 | No data |
| CHANGE OF MAILING ADDRESS | 2018-04-12 | 2318 NW BAY COLONY CT, STUART, FL 34994 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-04-12 | 2318 NW BAY COLONY CT, STUART, FL 34994 | No data |
| REGISTERED AGENT NAME CHANGED | 2014-02-28 | MUNNE, RAFAEL A, MD | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-04 |
| ANNUAL REPORT | 2023-01-19 |
| ANNUAL REPORT | 2022-03-11 |
| ANNUAL REPORT | 2021-03-14 |
| ANNUAL REPORT | 2020-07-20 |
| ANNUAL REPORT | 2019-06-13 |
| ANNUAL REPORT | 2018-04-12 |
| ANNUAL REPORT | 2017-02-12 |
| ANNUAL REPORT | 2016-04-17 |
| ANNUAL REPORT | 2015-03-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
