| Entity Name: | CHARLES E. AHNER, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 28 Oct 2002 (22 years ago) |
| Document Number: | P02000115429 |
| FEI/EIN Number | 043718916 |
| Address: | 25 NE Dixie Hwy, Stuart, FL, 34994, US |
| Mail Address: | 25 NE Dixie Hwy, Stuart, FL, 34994, US |
| ZIP code: | 34994 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225397490 | 2012-05-09 | 2012-05-09 | 10333 N MILITARY TRL, SUITE A, PALM BEACH GARDENS, FL, 334104601, US | 10333 N MILITARY TRL, SUITE A, PALM BEACH GARDENS, FL, 334104601, US | |||||||||||||||||||||||
|
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| Phone | +1 561-630-3696 |
Authorized person
| Name | DR. CHARLES E AHNER |
| Role | PRESIDENT |
| Phone | 5616303696 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME86298 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1104835628 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| AHNER CHARLES E | Agent | 25 NE Dixie Hwy, Stuart, FL, 34994 |
| Name | Role | Address |
|---|---|---|
| AHNER CHARLES E | President | 25 NE Dixie Hwy, Stuart, FL, 34994 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-16 | 25 NE Dixie Hwy, Stuart, FL 34994 | No data |
| CHANGE OF MAILING ADDRESS | 2018-04-16 | 25 NE Dixie Hwy, Stuart, FL 34994 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-04-16 | 25 NE Dixie Hwy, Stuart, FL 34994 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-29 |
| ANNUAL REPORT | 2023-02-18 |
| ANNUAL REPORT | 2022-01-29 |
| ANNUAL REPORT | 2021-04-03 |
| ANNUAL REPORT | 2020-04-10 |
| ANNUAL REPORT | 2019-04-26 |
| ANNUAL REPORT | 2018-04-16 |
| ANNUAL REPORT | 2017-04-08 |
| ANNUAL REPORT | 2016-04-03 |
| ANNUAL REPORT | 2015-01-21 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
