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 |
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 | |||||||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
ROMANO, MARC J | Agent | 2145 NE 5TH AVENUE, WILTON MANORS, FL 33305 |
Name | Role | Address |
---|---|---|
ROMANO, MARC J | President | 2145 NE 5TH AVENUE, WILTON MANORS, FL 33305 |
Name | Role | Address |
---|---|---|
ROMANO, MARC J | Director | 2145 NE 5TH AVENUE, WILTON MANORS, FL 33305 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2019-04-05 | 2145 NE 5TH AVE, WILTON MANORS, FL 33305 | No data |
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