| Entity Name: | VITA ANKSH, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 27 Aug 2002 (22 years ago) |
| Document Number: | P02000092921 |
| FEI/EIN Number | 061646627 |
| Address: | 2902 Leonardo Ave., NAPLES, FL, 34119, US |
| Mail Address: | 2902 LEONARDO AVE., NAPLES, FL, 34119, US |
| ZIP code: | 34119 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205920444 | 2006-10-03 | 2008-12-30 | PO BOX 110465, NAPLES, FL, 341080108, US | 9010 STRADA STELL CT, SUITE 203, NAPLES, FL, 341094424, US | |||||||||||||||||||||||
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| Phone | +1 239-254-1316 |
Authorized person
| Name | VITA ANKSH |
| Role | PRES |
| Phone | 2392541316 |
Taxonomy
| Taxonomy Code | 207RE0101X - Endocrinology, Diabetes & Metabolism Physician |
| License Number | ME83804 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 265813500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ANKSH VITA | Agent | 2902 Leonardo Ave., NAPLES, FL, 34119 |
| Name | Role | Address |
|---|---|---|
| ANKSH IRINA | Secretary | 7343 Lantana Circle, NAPLES, FL, 34119 |
| Name | Role | Address |
|---|---|---|
| ANKSH IRINA | Treasurer | 7343 Lantana Circle, NAPLES, FL, 34119 |
| Name | Role | Address |
|---|---|---|
| ANKSH VITA | President | 2902 LEONARDO AVE., NAPLES, FL, 34119 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G09082900654 | ENDOCRINOLOGY CENTER OF NAPLES | ACTIVE | 2009-03-23 | 2029-12-31 | No data | 2902 LEONARDO AVE, NAPLES, FL, 34119 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2014-04-18 | 2902 Leonardo Ave., NAPLES, FL 34119 | No data |
| CHANGE OF MAILING ADDRESS | 2014-04-18 | 2902 Leonardo Ave., NAPLES, FL 34119 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-04-18 | 2902 Leonardo Ave., NAPLES, FL 34119 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-07 |
| ANNUAL REPORT | 2023-02-12 |
| ANNUAL REPORT | 2022-04-22 |
| ANNUAL REPORT | 2021-04-19 |
| ANNUAL REPORT | 2020-04-19 |
| ANNUAL REPORT | 2019-04-14 |
| ANNUAL REPORT | 2018-03-25 |
| ANNUAL REPORT | 2017-03-18 |
| ANNUAL REPORT | 2016-04-17 |
| ANNUAL REPORT | 2015-03-15 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
