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JANET ANDERSON MD, P.A. - Florida Company Profile

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Company Details

Entity Name: JANET ANDERSON MD, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 31 Jan 2000 (26 years ago)
Document Number: P00000010483
FEI/EIN Number 593634049
Address: 5876 Lake Pine Rd, Vero Beach, FL, 32960, US
Mail Address: 5876 Lake Pine Rd, VERO BEACH, FL, 32967, US
ZIP code: 32960
City: Vero Beach
County: Indian River
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
ANDERSON JANET M Director 5876 Lake Pine Rd, VERO BEACH, FL, 32967
Kancilia John R Agent 730 E. STRAWBRIDGE AVENUE, Melbourne, FL, 32901

National Provider Identifier

NPI Number:
1982806857
Certification Date:
2020-05-12

Authorized Person:

Name:
JANET ANDERSON
Role:
OWNER/PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
207RC0000X - Cardiovascular Disease Physician
Is Primary:
Yes

Contacts:

Fax:
7727947794

Form 5500 Series

Employer Identification Number (EIN):
593634049
Plan Year:
2024
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2024
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
4
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-03-27 777 37 TH STREET, C105, Vero Beach, FL 32960 -
REGISTERED AGENT NAME CHANGED 2021-03-27 Kancilia, John R -
REGISTERED AGENT ADDRESS CHANGED 2021-03-27 730 E. STRAWBRIDGE AVENUE, SUITE 209, Melbourne, FL 32901 -
CHANGE OF MAILING ADDRESS 2020-04-10 777 37 TH STREET, C105, Vero Beach, FL 32960 -

Documents

Name Date
ANNUAL REPORT 2024-03-03
ANNUAL REPORT 2023-01-22
ANNUAL REPORT 2022-02-27
ANNUAL REPORT 2021-03-27
ANNUAL REPORT 2020-04-10
ANNUAL REPORT 2019-04-17
ANNUAL REPORT 2018-03-13
ANNUAL REPORT 2017-04-11
ANNUAL REPORT 2016-04-22
ANNUAL REPORT 2015-03-27

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Date of last update: 02 Aug 2025

Sources: Florida Department of State