| Entity Name: | ESSENCE OF HEALTH OF NAPLES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 26 Jun 2024 (7 months ago) |
| Document Number: | P24000043133 |
| Address: | 6877 WELLINGTON DRIVE, NAPLES, FL 34109 |
| Mail Address: | 6877 WELLINGTON DRIVE, NAPLES, FL 34109 |
| ZIP code: | 34109 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003644840 | 2024-07-23 | 2024-11-02 | 2675 WINKLER AVE FL 2, FORT MYERS, FL, 339019342, US | 5470 BRYSON CT, NAPLES, FL, 341096000, US | |||||||||||||||||||||
|
|||||||||||||||||||||||||
| Phone | +1 239-877-8522 |
Authorized person
| Name | MRS. KIMBERLY DAIZ |
| Role | OWNER/ NP |
| Phone | 2398778522 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| Is Primary | No |
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| KEVIN A. DENTI, P.A. | Agent |
| Name | Role | Address |
|---|---|---|
| TAKALA, SASHA | T D | 6877 WELLINGTON DRIVE, NAPLES, FL 34109 |
| Name | Role | Address |
|---|---|---|
| DIAZ, KIMBERLY | S D | 6877 WELLINGTON DRIVE, NAPLES, FL 34109 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000081214 | ESSENCE OF HEALTH | ACTIVE | 2024-07-08 | 2029-12-31 | No data | 6877 WELLINGTON DR, NAPLES, FL, 34109 |
| Name | Date |
|---|---|
| Domestic Profit | 2024-06-26 |
Date of last update: 07 Jan 2025
Sources: Florida Department of State
