| Entity Name: | CHARLOTTE NEPHROLOGY ASSOCIATES, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 11 Sep 1981 (43 years ago) |
| Document Number: | F44347 |
| FEI/EIN Number | 592122578 |
| Mail Address: | 99 NESBIT ST, PUNTA GORDA, FL, 33950, US |
| Address: | 3300 TAMIAMI TRAIL, SUITE 101 A, PT CHARLOTTE, FL, 33952, US |
| ZIP code: | 33952 |
| County: | Charlotte |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831412451 | 2010-03-10 | 2010-03-10 | 3300 TAMIAMI TRL, STE 101A, PORT CHARLOTTE, FL, 339528054, US | 830 N MILLS AVE, ARCADIA, FL, 342668780, US | |||||||||||||||||||
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| Phone | +1 941-629-4676 |
| Fax | 9416291522 |
Authorized person
| Name | DR. LALITA THATTE |
| Role | PRESIDENT |
| Phone | 9416294676 |
Taxonomy
| Taxonomy Code | 207RN0300X - Nephrology Physician |
| License Number | 60708 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HACKETT JACK OII | Agent | FARR LAW FIRM, PUNTA GORDA, FL, 33950 |
| Name | Role | Address |
|---|---|---|
| THATTE LALITA | President | 104 GRAHAM, PORT CHARLOTTE, FL, 33952 |
| Name | Role | Address |
|---|---|---|
| THATTE LALITA | Secretary | 104 GRAHAM, PORT CHARLOTTE, FL, 33952 |
| Name | Role | Address |
|---|---|---|
| THATTE LALITA | Treasurer | 104 GRAHAM, PORT CHARLOTTE, FL, 33952 |
| Name | Role | Address |
|---|---|---|
| THATTE LALITA | Director | 104 GRAHAM, PORT CHARLOTTE, FL, 33952 |
| Name | Role | Address |
|---|---|---|
| HINGORANI JAIDEEP DR. | Vice President | 3300 TAMIAMI TRAIL, SUITE 101A, PORT CHARLOTTE, FL, 33952 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2014-12-22 | No data | No data |
| NAME CHANGE AMENDMENT | 1998-10-15 | CHARLOTTE NEPHROLOGY ASSOCIATES, P.A. | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
