| Entity Name: | ALBERTO F VERA, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 27 Apr 2011 (14 years ago) |
| Document Number: | P11000040874 |
| FEI/EIN Number | 900730293 |
| Mail Address: | 15275 Collier Blvd, NAPLES, FL, 34119, US |
| Address: | 4550 Executive Dr, NAPLES, FL, 34119, US |
| ZIP code: | 34119 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255619615 | 2011-08-02 | 2012-04-18 | PO BOX 7518, FORT MYERS, FL, 339117518, US | 1048 GOODLETTE RD N, UNIT 102, NAPLES, FL, 341025491, US | |||||||||||||||||||||||||||||||
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| Phone | +1 239-692-8719 |
| Fax | 2396928856 |
Authorized person
| Name | DR. ALBERTO F VERA |
| Role | PRESIDENT |
| Phone | 2396928484 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME101375 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | RAILROAD PTAN |
| Number | DS2418 |
| State | FL |
| Issuer | MEDICAID |
| Number | 000094400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| VERA ALBERTO F | Agent | 524 101st Ave N, NAPLES, FL, FL, 34108 |
| Name | Role | Address |
|---|---|---|
| Vera Alberto FDr. | President | 524 101st Ave N, NAPLES, FL, FL, 34108 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-03-12 | 4550 Executive Dr, Suite # 104, NAPLES, FL 34119 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-12 | 524 101st Ave N, NAPLES, FL, FL 34108 | No data |
| CHANGE OF MAILING ADDRESS | 2018-05-08 | 4550 Executive Dr, Suite # 104, NAPLES, FL 34119 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-27 |
| ANNUAL REPORT | 2023-02-25 |
| ANNUAL REPORT | 2022-03-12 |
| ANNUAL REPORT | 2021-02-07 |
| ANNUAL REPORT | 2020-04-16 |
| ANNUAL REPORT | 2019-04-06 |
| ANNUAL REPORT | 2018-05-08 |
| ANNUAL REPORT | 2017-04-18 |
| ANNUAL REPORT | 2016-04-04 |
| ANNUAL REPORT | 2015-02-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
