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ROBERT R GRANVILLE MD, P.A. - Florida Company Profile

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Company Details

Entity Name: ROBERT R GRANVILLE MD, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 18 Jan 2011 (15 years ago)
Date of dissolution: 28 Sep 2012 (13 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 28 Sep 2012 (13 years ago)
Document Number: P11000006042
Address: 1600 S FEDERAL HWY, 10TH FLOOR, POMPANO BEACH, FL, 33062
Mail Address: 1600 S FEDERAL HWY, 10TH FLOOR, POMPANO BEACH, FL, 33062
ZIP code: 33062
City: Pompano Beach
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
GRANVILLE ROBERT R President 1600 S FEDERAL HWY, 10TH FLOOR, POMPANO BEACH, FL, 33062
KELLY JOHN F Agent 3020 N FEDERAL HWY, FT. LAUDERDALE, FL, 33306

National Provider Identifier

NPI Number:
1750689659

Authorized Person:

Name:
ROBERT R GRANVILLE
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207X00000X - Orthopaedic Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
9547831951

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2012-09-28 - -

Documents

Name Date
Domestic Profit 2011-01-18

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Date of last update: 01 Aug 2025

Sources: Florida Department of State