| Entity Name: | TRESCIANA MORGAN MD, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 10 Jun 2015 (10 years ago) |
| Document Number: | P15000051021 |
| FEI/EIN Number | 47-4276376 |
| Address: | 1500 North University Drive, Coral Springs, FL, 33071, US |
| Mail Address: | 1500 North University Drive, Coral Springs, FL, 33071, US |
| ZIP code: | 33071 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093184053 | 2015-09-21 | 2015-10-06 | 7000 W CAMINO REAL, SUITE #210, BOCA RATON, FL, 334335532, US | 7000 W CAMINO REAL, SUITE #210, BOCA RATON, FL, 334335532, US | |||||||||||||||||||||||||
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| Phone | +1 561-609-2365 |
| Fax | 5616092437 |
Authorized person
| Name | TRESCIANA MORGAN |
| Role | OWNER |
| Phone | 5616092365 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME106035 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | CAQH |
| Number | 12061590 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| NARAYSINGH CHRISTOPHER | Agent | 1500 North University Drive, Coral Springs, FL, 33071 |
| Name | Role | Address |
|---|---|---|
| NARAYSINGH CHRISTOPHER | Vice President | 1500 North University Drive, Coral Springs, FL, 33071 |
| Name | Role | Address |
|---|---|---|
| MORGAN TRESCIANA | President | 1500 North University Drive, Coral Springs, FL, 33071 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-02-17 | 1500 North University Drive, Suite #202, Coral Springs, FL 33071 | No data |
| CHANGE OF MAILING ADDRESS | 2021-02-17 | 1500 North University Drive, Suite #202, Coral Springs, FL 33071 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-02-17 | 1500 North University Drive, Suite #202, Coral Springs, FL 33071 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-05 |
| ANNUAL REPORT | 2023-03-09 |
| ANNUAL REPORT | 2022-03-04 |
| ANNUAL REPORT | 2021-02-17 |
| ANNUAL REPORT | 2020-03-02 |
| ANNUAL REPORT | 2019-02-14 |
| ANNUAL REPORT | 2018-03-12 |
| ANNUAL REPORT | 2017-04-11 |
| ANNUAL REPORT | 2016-08-23 |
| Domestic Profit | 2015-06-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
