| Entity Name: | CLAUDIA D. MARCELO, D.O., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 21 May 2015 (10 years ago) |
| Document Number: | P15000045697 |
| FEI/EIN Number | 474136223 |
| Address: | 100 E MCNAB RD, POMPANO BEACH, FL, 33060, US |
| Mail Address: | 1761 NORTHEAST 42ND STREET, OAKLAND PARK, FL, 33334, US |
| ZIP code: | 33060 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356725147 | 2015-07-12 | 2015-09-23 | 4401 SHERIDAN ST, HOLLYWOOD, FL, 330213513, US | 1761 NE 42ND ST, OAKLAND PARK, FL, 333345463, US | |||||||||||||
|
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| Phone | +1 813-546-3791 |
Authorized person
| Name | DR. CLAUDIA D MARCELO |
| Role | OWNER |
| Phone | 8135463791 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MARCELO CLAUDIA D | Agent | 1761 NORTHEAST 42ND STREET, OAKLAND PARK, FL, 33334 |
| Name | Role | Address |
|---|---|---|
| MARCELO CLAUDIA D | President | 1761 NORTHEAST 42ND STREET, OAKLAND PARK, FL, 33334 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000157726 | PANACEA BIOMEDICAL INSTITUTE | ACTIVE | 2020-12-12 | 2025-12-31 | No data | 1761 NE 42ND ST, OAKLAND PARK, FL, 33334 |
| G15000091631 | MEDICALLY FIT & BALANCED | ACTIVE | 2015-09-04 | 2025-12-31 | No data | 1761 NE 42ND STREET, OAKLAND PARK, FL, 33334 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-02-10 | 100 E MCNAB RD, SUITE B, POMPANO BEACH, FL 33060 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-26 |
| ANNUAL REPORT | 2023-01-29 |
| ANNUAL REPORT | 2022-01-18 |
| ANNUAL REPORT | 2021-02-15 |
| ANNUAL REPORT | 2020-02-19 |
| AMENDED ANNUAL REPORT | 2019-09-06 |
| ANNUAL REPORT | 2019-02-09 |
| ANNUAL REPORT | 2018-01-10 |
| ANNUAL REPORT | 2017-02-28 |
| ANNUAL REPORT | 2016-05-01 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
