| Entity Name: | ANA ERIKSEN, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 30 Aug 1999 (25 years ago) |
| Document Number: | P99000077174 |
| FEI/EIN Number | 650944442 |
| Address: | 9480 S.W. 77TH AVENUE, MIAMI, FL, 33156 |
| Mail Address: | 9480 S.W. 77TH AVENUE, MIAMI, FL, 33156 |
| ZIP code: | 33156 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538389424 | 2007-04-26 | 2020-08-22 | 9480 SW 77TH AVE, MIAMI, FL, 331567903, US | 9480 SW 77TH AVE, MIAMI, FL, 331567903, US | |||||||||||||||||||||||||||
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| Phone | +1 305-595-1616 |
| Fax | 3055957272 |
Authorized person
| Name | ANA ERIKSEN |
| Role | PRESIDENT |
| Phone | 3055951616 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | ME0068738 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 2084P0804X - Child & Adolescent Psychiatry Physician |
| License Number | ME0068738 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| ERIKSEN ANA M | Agent | 9480 S.W. 77TH AVENUE, MIAMI, FL, 33156 |
| Name | Role | Address |
|---|---|---|
| ERIKSEN ANA M | President | 9480 S.W. 77TH AVENUE, MIAMI, FL, 33156 |
| Name | Role | Address |
|---|---|---|
| ERIKSEN ANA M | Director | 9480 S.W. 77TH AVENUE, MIAMI, FL, 33156 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2001-04-29 | 9480 S.W. 77TH AVENUE, MIAMI, FL 33156 | No data |
| CHANGE OF MAILING ADDRESS | 2001-04-29 | 9480 S.W. 77TH AVENUE, MIAMI, FL 33156 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2001-04-29 | 9480 S.W. 77TH AVENUE, MIAMI, FL 33156 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-26 |
| ANNUAL REPORT | 2023-02-05 |
| ANNUAL REPORT | 2022-03-05 |
| ANNUAL REPORT | 2021-03-28 |
| ANNUAL REPORT | 2020-04-05 |
| ANNUAL REPORT | 2019-02-26 |
| ANNUAL REPORT | 2018-01-31 |
| ANNUAL REPORT | 2017-01-15 |
| ANNUAL REPORT | 2016-03-31 |
| ANNUAL REPORT | 2015-03-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
