| Entity Name: | ANITA D. SPITZ, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 08 Feb 2002 (23 years ago) |
| Date of dissolution: | 26 Sep 2014 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (10 years ago) |
| Document Number: | P02000014887 |
| FEI/EIN Number | 043612140 |
| Address: | 500 NORTH WASHINGTON AVENUE, SUITE 103, TITUSVILLE, FL, 32796 |
| Mail Address: | 500 NORTH WASHINGTON AVENUE, SUITE 103, TITUSVILLE, FL, 32796 |
| ZIP code: | 32796 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063655041 | 2009-04-07 | 2010-07-20 | 500 NORTH WASHINGTON AVE., SUITE 103, TITUSVILLE, FL, 327962759, US | 500 NORTH WASHINGTON AVE., SUITE 103, TITUSVILLE, FL, 327962759, US | |||||||||||||||||||
|
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| Phone | +1 321-383-0112 |
| Fax | 3213830229 |
Authorized person
| Name | MRS. CAROLE GEARIN SEAY |
| Role | OFFICE MANAGER |
| Phone | 3213830112 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME58817 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SPITZ ANITA DM.D. | Agent | 500 NORTH WASHINGTON AVENUE, TITUSVILLE, FL, 32796 |
| Name | Role | Address |
|---|---|---|
| SPITZ ANITA D | Director | 500 NORTH WASHINGTON AVENUE #103, TITUSVILLE, FL, 32796 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2013-01-27 | SPITZ, ANITA D., M.D. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2013-01-27 |
| ANNUAL REPORT | 2012-03-20 |
| ANNUAL REPORT | 2011-02-28 |
| ANNUAL REPORT | 2010-05-06 |
| ANNUAL REPORT | 2009-01-07 |
| ANNUAL REPORT | 2008-03-25 |
| ANNUAL REPORT | 2007-03-22 |
| ANNUAL REPORT | 2006-05-04 |
| ANNUAL REPORT | 2005-02-28 |
| ANNUAL REPORT | 2004-03-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
