Florida
Ask Whether It Is Licensed Before You Ask What It Costs
An unlicensed physician office is a commercial tenant buildout. A licensed facility goes through state plan review and is built to a different standard on a different timeline. Pricing the second as though it were the first is the most expensive mistake available in healthcare construction, and it is made regularly — so it is the first question we ask.
Tell us the space, the specialty, and whether the facility will be licensed. Those three answers decide almost everything else.
Licensed?
The first question, because it changes the whole project
ICRA
Containment built and monitored, not just described
Occupied
Clinics keep seeing patients while we work
Licensed
General contractor, licensed in the state of Florida
What we build
What we build
Six facility types. The regulatory weight varies enormously, and so does the cost per square foot.
Medical Office
A private physician practice doing examinations and consultation. Usually a commercial tenant buildout with clinical requirements layered on top.
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Dental
A dental practice is defined by what runs underneath it — water, air, vacuum, drainage and data, all arriving at fixed points in each operatory.
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Ambulatory Surgery
An ambulatory surgery center is a licensed facility. State plan review, code requirements for operating rooms, medical gas and air handling all apply, and each has a real schedule consequence.
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Imaging & Radiology
X-ray, CT and MRI each impose physical requirements that a normal building does not anticipate — shielding, floor loading, power and, for MRI, a magnetic field that never turns off.
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Infusion & Oncology
An infusion suite is a comfortable space with an unglamorous engineering problem attached: the compounding pharmacy that supplies it.
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Urgent Care
Usually a prototype rolled out across sites, which makes repeatability the value and the landlord's delivery date the constraint.
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The regulated part
The regulated part
Licensure, infection control, medical gas, life safety, and working in a live facility.
Licensure & Plan Review
Some healthcare spaces are licensed facilities reviewed by the state. Some are commercial tenant buildouts. The difference decides the cost, the schedule and the standard.
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Infection Control & ICRA
Construction in or near a healthcare space releases dust, and dust carries organisms that matter to people who are already unwell. Containment is a built assembly with a measurable performance.
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Medical Gas
Medical gas piping looks like plumbing and is governed by an entirely separate regime of qualification, installation and independent verification.
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Life Safety & ILSM
Building work interrupts alarms, sprinklers, exits and smoke compartments. In an occupied healthcare facility every one of those interruptions has to be planned and compensated for.
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Working in a Live Facility
Most healthcare construction happens in a building that is still seeing patients, which makes coordination the largest part of the job.
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The difference
How we work
We establish the licensure question before we price anything
An unlicensed physician office is a commercial tenant buildout. A licensed facility goes through state plan review and is built to a different standard on a different timeline. Pricing the second as though it were the first is the most expensive error available here, and it is made regularly.
Infection control is a built assembly, not a paragraph
A containment barrier that is described in a submittal and improvised on site is worse than none, because everybody assumes it is working. Ours are built, sealed, pressure-monitored and logged, and the log is available to your infection preventionist.
The clinic keeps seeing patients
Revenue does not pause for construction. Noise windows, dust routes, corridor access and where patients walk are planned before mobilization, because a clinic that cancels a day of appointments has paid for it twice.
We will tell you the schedule is not real
If plan review, long-lead equipment and inspection sequencing will not fit inside the date you have been given, the honest time to say so is now — not after the lease has been signed and the equipment ordered.
Start here
Ask about your project
Tell us the space, the specialty, and whether the facility will be licensed. Those three answers decide almost everything else.
If the schedule you have been given will not fit plan review, long-lead equipment and inspection sequencing, we will tell you now rather than after the lease is signed.
FAQ
Common questions
- Does our project need state plan review?
- It depends on whether the facility will be licensed. Ask your design professional or healthcare counsel in writing before signing a lease — do not assume from similar projects.
- What makes healthcare construction more expensive?
- Review, air handling, medical gas, life safety and working around a facility that never closes. Rarely the finishes.
- Where does infection control usually fail?
- Above the ceiling grid. A barrier stopping at the grid leaves the plenum open to the rest of the building.
- Can a plumber install medical gas?
- No. It needs qualified installers and independent verification by somebody who did not install it.
- Can the clinic stay open?
- Usually, and the program should be built around the clinical schedule rather than the other way round.
- Can you work only outside clinic hours?
- Yes. It extends the program and costs more, and we will price both honestly.
- Why does dental rough-in matter so much?
- Utility positions come from the equipment manufacturer. Change the equipment after the slab and relocation is severe.
- Who designs imaging shielding?
- A medical physicist. We build to their specification and do not substitute judgement.
Service area
Where we work
- Counties covered
- Broward · Miami-Dade · Palm Beach · Collier · Lee · Monroe · Martin · St. Lucie
- Office hours
- Mon–Fri 10:00 AM – 6:00 PMWork in occupied clinics is scheduled around the schedule that pays for it.
- Phone
- (954) 807-3208
Read our Google reviews — worth a look before you let anyone on your building.
No showroom, and that is deliberate
Romco is a service-area contractor. There is no trade counter to visit, because the work happens at your building rather than at ours.
Outside the immediate Broward and Palm Beach corridor we work through established local trade partners and manage the project ourselves. You deal with one point of accountability either way — the crew on site changes, the person answering for the job does not.
For anything urgent, call(954) 807-3208 rather than using the form. We would rather look at it than quote it blind.
Next step
Find out what is actually wrong with it.
An inspection, photographs of what we found, and a written scope. If the honest answer is that it can wait another season, that is the answer you will get.