Entity Name: | ROYAL FAMILY MEDICINE INC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Active |
Date Filed: | 07 Apr 2017 (8 years ago) |
Last Event: | REINSTATEMENT |
Event Date Filed: | 25 Sep 2024 (5 months ago) |
Document Number: | P17000032065 |
FEI/EIN Number | 82-1310645 |
Address: | 17017 CAPPUCCINO WAY, BOCA RATON, FL 33496 |
Mail Address: | 17017 CAPPUCCINO WAY, BOCA RATON, FL 33496 |
ZIP code: | 33496 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1033644182 | 2017-04-26 | 2017-04-26 | 3886 CANDLEWOOD BLVD, BOCA RATON, FL, 334871261, US | 3886 CANDLEWOOD BLVD, BOCA RATON, FL, 334871261, US | |||||||||||||||
|
Name | VICTOR J MARIANO |
Role | PRESIDENT |
Phone | 7874158405 |
Taxonomy
Taxonomy Code | 207R00000X - Internal Medicine Physician |
License Number | ME117155 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
MARIANO, VICTOR | Agent | 16388 PANTHEON PASS, DELRAY BEACH, FL 33446 |
Name | Role | Address |
---|---|---|
MARIANO, VICTOR | President | 16388 PANTHEON PASS, DELRAY BEACH, FL 33446 |
Name | Role | Address |
---|---|---|
ROJAS, ERNESTINA | Vice President | 16388 PANTHEON PASS, DELRAY BEACH, FL 33446 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REINSTATEMENT | 2024-09-25 | No data | No data |
REGISTERED AGENT NAME CHANGED | 2024-09-25 | MARIANO, VICTOR | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2022-06-20 | 17017 CAPPUCCINO WAY, BOCA RATON, FL 33496 | No data |
CHANGE OF MAILING ADDRESS | 2022-06-20 | 17017 CAPPUCCINO WAY, BOCA RATON, FL 33496 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2018-09-08 | 16388 PANTHEON PASS, DELRAY BEACH, FL 33446 | No data |
Name | Date |
---|---|
REINSTATEMENT | 2024-09-25 |
ANNUAL REPORT | 2021-04-23 |
ANNUAL REPORT | 2020-03-15 |
ANNUAL REPORT | 2019-03-02 |
ANNUAL REPORT | 2018-09-08 |
Domestic Profit | 2017-04-07 |
Date of last update: 18 Feb 2025
Sources: Florida Department of State