| Entity Name: | ROBERTO MOREJON NP, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 01 Nov 2019 (5 years ago) |
| Document Number: | P19000085191 |
| FEI/EIN Number | 84-3709279 |
| Address: | 2800 SW 13TH STREET, MIAMI, FL 33145 |
| Mail Address: | 2800 SW 13TH STREET, MIAMI, FL 33145 |
| ZIP code: | 33145 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598477945 | 2022-12-16 | 2023-02-21 | 2800 SW 13TH ST, MIAMI, FL, 331451124, US | 2800 SW 13TH ST, MIAMI, FL, 331451124, US | |||||||||||||||||||
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| Phone | +1 786-370-1878 |
Authorized person
| Name | MR. ROBERTO MOREJON |
| Role | AUTHORIZED OFFICIAL |
| Phone | 7863701878 |
Taxonomy
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 102089400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MOREJON, ROBERTO | Agent | 2800 SW 13TH STREET, MIAMI, FL 33145 |
| Name | Role | Address |
|---|---|---|
| MOREJON, ROBERTO | President | 2800 SW 13TH STREET, MIAMI, FL 33145 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-14 |
| ANNUAL REPORT | 2023-01-14 |
| ANNUAL REPORT | 2022-02-02 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-03-21 |
| Domestic Profit | 2019-11-01 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
