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MARIE ADDLY CAMBRONNE MD PA

Company Details

Entity Name: MARIE ADDLY CAMBRONNE MD PA
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 07 Jan 2010 (15 years ago)
Document Number: P10000001452
FEI/EIN Number 27-1622975
Address: 2225 SW PANTHER TRACE, STUART, FL 34997
Mail Address: 2225 SW PANTHER TRACE, STUART, FL 34997
ZIP code: 34997
County: Martin
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1780916619 2010-02-03 2010-12-08 PO BOX 1277, STUART, FL, 349951277, US 1700 SE HILLMOOR DR, PORT ST LUCIE, FL, 349527539, US

Contacts

Phone +1 772-335-4000

Authorized person

Name MARIE-ADDLY CAMBRONNE
Role MD
Phone 7723354000

Taxonomy

Taxonomy Code 2084P0800X - Psychiatry Physician
License Number ME99143
State FL
Is Primary Yes

Agent

Name Role Address
CAMBRONNE, MARIE A Agent 2225 SW PANTHER TRACE, STUART, FL 34997

Manager

Name Role Address
CAMBRONNE, MARIE A Manager 2225 SW PANTHER TRACE, STUART, FL 34997

Director

Name Role Address
CAMBRONNE, MARIE A Director 2225 SW PANTHER TRACE, STUART, FL 34997

Documents

Name Date
ANNUAL REPORT 2025-02-08
ANNUAL REPORT 2024-02-05
ANNUAL REPORT 2023-01-26
ANNUAL REPORT 2022-01-31
ANNUAL REPORT 2021-01-26
ANNUAL REPORT 2020-02-01
ANNUAL REPORT 2019-03-15
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-03-17
ANNUAL REPORT 2016-01-19

Date of last update: 24 Feb 2025

Sources: Florida Department of State