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MARC J. ROMANO, ARNP, PA

Company Details

Entity Name: MARC J. ROMANO, ARNP, PA
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 09 Jul 2013 (12 years ago)
Document Number: P13000057836
FEI/EIN Number 46-3132670
Address: 2145 NE 5TH AVE, WILTON MANORS, FL 33305
Mail Address: 2145 NE 5TH AVENUE, WILTON MANNORS, FL 33305
ZIP code: 33305
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1144662701 2013-07-24 2016-03-07 2413 E ATLANTIC BLVD, POMPANO BEACH, FL, 330625213, US 2413 E ATLANTIC BLVD, POMPANO BEACH, FL, 330625213, US

Contacts

Phone +1 954-946-7121
Fax 8665527502

Authorized person

Name DR. MARC JOSEPH ROMANO
Role PRESIDENT
Phone 9542969464

Taxonomy

Taxonomy Code 363LP0808X - Psychiatric/Mental Health Nurse Practitioner
License Number ARNP9205122
State FL
Is Primary Yes

Agent

Name Role Address
ROMANO, MARC J Agent 2145 NE 5TH AVENUE, WILTON MANORS, FL 33305

President

Name Role Address
ROMANO, MARC J President 2145 NE 5TH AVENUE, WILTON MANORS, FL 33305

Director

Name Role Address
ROMANO, MARC J Director 2145 NE 5TH AVENUE, WILTON MANORS, FL 33305

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2019-04-05 2145 NE 5TH AVE, WILTON MANORS, FL 33305 No data

Documents

Name Date
ANNUAL REPORT 2024-04-06
ANNUAL REPORT 2023-02-12
ANNUAL REPORT 2022-04-11
ANNUAL REPORT 2021-04-12
ANNUAL REPORT 2020-05-19
ANNUAL REPORT 2019-04-05
ANNUAL REPORT 2018-04-16
ANNUAL REPORT 2017-04-28
ANNUAL REPORT 2016-04-23
AMENDED ANNUAL REPORT 2015-04-18

Date of last update: 21 Feb 2025

Sources: Florida Department of State