| Entity Name: | GONZALEZ-ROMO MANNY MD PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 21 Oct 2022 (2 years ago) |
| Document Number: | P22000080772 |
| FEI/EIN Number | 92-0809289 |
| Address: | 15921 SW 254 STREET, HOMESTEAD, FL, 33031, US |
| Mail Address: | 15921 SW 254 STREET, HOMESTEAD, FL, 33031, US |
| ZIP code: | 33031 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548977036 | 2022-11-03 | 2023-09-07 | 15921 SW 254TH ST, HOMESTEAD, FL, 330312045, US | 15921 SW 254TH ST, HOMESTEAD, FL, 330312045, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 305-781-9881 |
Authorized person
| Name | MANUEL M GONZALEZ |
| Role | OWNER |
| Phone | 3057819881 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MANUEL MARCELO GONZALEZ | Agent | 15921 SW 254 STREET, HOMESTEAD, FL, 33031 |
| Name | Role | Address |
|---|---|---|
| MANUEL MARCELO GONZALEZ | President | 15921 SW 254 STREET, HOMESTEAD, FL, 33031 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-06-06 |
| Domestic Profit | 2022-10-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
