Services · Medical & Dental Build-Outs
Medical and Dental Office Build-Outs
A clinical space is not an office with a sink. It is a permit with a second regulator attached, a mechanical design driven by air-change requirements, and a set of inspections that a general commercial contractor does not routinely see.
Send a floor plan, a lease exhibit, or a landlord work letter. We come back with a real number and the assumptions behind it.
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Florida counties Romco Builders is licensed to build in.
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Home counties on this desk: Miami-Dade, Broward and Palm Beach.
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Principals run the firm. There is no account-manager layer between you and them.
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Dewatering, support of excavation and deep foundations we do with our own people.
Why this matters
What it costs to do nothing
The expensive mistake is treating a clinical suite as a standard tenant improvement. Imaging rooms need shielding designed by a physicist and installed before the wall closes. Sterilisation areas need specific ventilation and drainage. Certain facility types fall under Agency for Health Care Administration plan review in addition to the local building department. Discovering any of those after framing means opening walls you just paid to finish.
Why clients choose us for medical & dental build-outs
- We establish the regulatory path first: which reviews your specific use triggers, and in what order, so the design is drawn to satisfy them rather than corrected afterwards.
- Shielding, med-gas, dedicated vacuum and specialty drainage are coordinated as their own scopes with their own inspections, not folded into general plumbing and electrical.
- Infection-control measures during construction are planned when the suite sits inside a working medical building — negative-pressure enclosures, dedicated debris routes, and hours that do not collide with patients.
- Our leadership delivered the FDR expansion for the Hospital for Special Surgery. Clinical construction sequencing is familiar ground for this leadership team.
The practical answer
Typical scope: exam and operatory rooms, sterilisation, lab, imaging with lead or equivalent shielding, medical gas and vacuum piping with certification, dedicated electrical circuits and isolated grounds for equipment, hands-free fixtures, seamless and cleanable flooring, and casework built to withstand disinfectant. Cost is driven far more by the equipment list than by square footage — one imaging room can outweigh the finishes of the entire suite. Give us the equipment schedule early; every clinical build-out is designed around it, and it is almost always the thing that arrives last.
FAQ
Common questions
- Does our project need AHCA review?
- It depends on the facility type, not the size. Some outpatient facilities, ambulatory surgical centres and clinics fall under Agency for Health Care Administration plan review; a typical private dental or physician office generally does not. We confirm the answer in preconstruction, because it changes both the drawing set and the schedule.
- Can you build while the practice next door is seeing patients?
- Yes, and in a medical building it is the norm. That means dust and pressure control at the boundary, noise-generating work scheduled outside clinic hours, and a debris route that never crosses a patient path.
- Who is responsible for the medical gas certification?
- We carry it. Medical gas piping must be installed and verified by qualified personnel and certified by an independent verifier before use. That verification is a scheduled milestone in our programme, not a formality at the end.
Serving Miami-Dade, Broward and Palm Beach
Next step
Ready to price your project?
Send a floor plan, a lease exhibit, or a landlord work letter. We come back with a real number and the assumptions behind it.