| Entity Name: | TITA HEALTHCARE INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 28 Aug 2017 (7 years ago) |
| Document Number: | P17000072155 |
| FEI/EIN Number | 822625088 |
| Address: | 12811 NORTH NEBRASKA AVE, J, TAMPA, FL, 33612, US |
| Mail Address: | 12811 N Nebraska Ave, Ste J, TAMPA, FL, 33612, US |
| ZIP code: | 33612 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215437694 | 2018-02-13 | 2018-02-13 | 12811 N NEBRASKA AVE STE J, TAMPA, FL, 336124401, US | 12811 N NEBRASKA AVE STE J, TAMPA, FL, 336124401, US | |||||||||||||||||||||||||||||||
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| Phone | +1 813-252-3157 |
| Fax | 8132523192 |
Authorized person
| Name | EMMANUEL TITA |
| Role | PHARMACIST |
| Phone | 8132523157 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH31153 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | PK |
| Number | 2175831 |
| Name | Role | Address |
|---|---|---|
| TITA EMMANUEL N | Agent | 31141 LINDENTREE DR, WESLEY CHAPEL, FL, 33543 |
| Name | Role | Address |
|---|---|---|
| TITA EMMANUEL N | President | 12811 NORTH NEBRASKA AVE, TAMPA, FL, 33612 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000102352 | ADVANCED CARE PHARMACY | ACTIVE | 2017-09-13 | 2027-12-31 | No data | 12811 N.NEBRASKA AVE STE J, TAMPA, FL, 33612 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-31 | 31141 LINDENTREE DR, WESLEY CHAPEL, FL 33543 | No data |
| CHANGE OF MAILING ADDRESS | 2018-03-03 | 12811 NORTH NEBRASKA AVE, J, TAMPA, FL 33612 | No data |
| REGISTERED AGENT NAME CHANGED | 2017-09-13 | TITA, EMMANUEL N | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-08 |
| ANNUAL REPORT | 2023-01-31 |
| ANNUAL REPORT | 2022-03-11 |
| ANNUAL REPORT | 2021-03-28 |
| ANNUAL REPORT | 2020-04-13 |
| ANNUAL REPORT | 2019-04-10 |
| ANNUAL REPORT | 2018-03-03 |
| Reg. Agent Change | 2017-09-13 |
| Domestic Profit | 2017-08-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
