| Entity Name: | ANA SUAREZ MD PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 12 Oct 2015 (9 years ago) |
| Document Number: | P15000083927 |
| FEI/EIN Number | 47-5440830 |
| Address: | 1333 SW Axtell avenue, PORT ST LUCIE, FL 34953 |
| Mail Address: | 1333 SW Axtell avenue, PORT ST LUCIE, FL 34953 |
| ZIP code: | 34953 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194197319 | 2015-10-27 | 2016-05-05 | 1333 SW AXTELL AVE, PORT SAINT LUCIE, FL, 349535327, US | 1333 SW AXTELL AVE, PORT SAINT LUCIE, FL, 349535327, US | |||||||||||||||||||||||
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| Phone | +1 786-285-6410 |
Authorized person
| Name | DR. ANA SUAREZ |
| Role | PRESIDENT |
| Phone | 7862856410 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | ME120211 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | LICENSE |
| Number | ME120211 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SUAREZ, ANA | Agent | 1333 SW Axtell avenue, PORT ST LUCIE, FL 34953 |
| Name | Role | Address |
|---|---|---|
| SUAREZ, ANA | President | 1333 SW Axtell avenue, PORT ST LUCIE, FL 34953 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2017-01-18 | 1333 SW Axtell avenue, PORT ST LUCIE, FL 34953 | No data |
| CHANGE OF MAILING ADDRESS | 2017-01-18 | 1333 SW Axtell avenue, PORT ST LUCIE, FL 34953 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-01-18 | 1333 SW Axtell avenue, PORT ST LUCIE, FL 34953 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-09 |
| ANNUAL REPORT | 2024-01-09 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-01-14 |
| ANNUAL REPORT | 2021-01-30 |
| ANNUAL REPORT | 2020-01-02 |
| ANNUAL REPORT | 2019-02-25 |
| ANNUAL REPORT | 2018-01-14 |
| ANNUAL REPORT | 2017-01-18 |
| ANNUAL REPORT | 2016-04-01 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
