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ROYAL FAMILY MEDICINE INC

Company Details

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

National Provider Identifier

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

Authorized person

Name VICTOR J MARIANO
Role PRESIDENT
Phone 7874158405

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
License Number ME117155
State FL
Is Primary Yes

Agent

Name Role Address
MARIANO, VICTOR Agent 16388 PANTHEON PASS, DELRAY BEACH, FL 33446

President

Name Role Address
MARIANO, VICTOR President 16388 PANTHEON PASS, DELRAY BEACH, FL 33446

Vice President

Name Role Address
ROJAS, ERNESTINA Vice President 16388 PANTHEON PASS, DELRAY BEACH, FL 33446

Events

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

Documents

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