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ANASTASIA MEDICAL GROUP LLC - Florida Company Profile

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Company Details

Entity Name: ANASTASIA MEDICAL GROUP LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 11 May 2005 (20 years ago)
Document Number: L05000046806
FEI/EIN Number 611488381
Address: 1301 PLANTATION ISLAND DR, SUITE 203A, ST AUGUSTINE, FL, 32080
Mail Address: 1301 PLANTATION ISLAND DR, SUITE 203A, ST AUGUSTINE, FL, 32080, US
ZIP code: 32080
City: Saint Augustine
County: St. Johns
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
NEERUKONDA SUHAS Managing Member 432 MARSHPOINT CIRCLE, ST AUGUSTINE, FL, 32080
PEREIRA RYAN Managing Member 201 Inlet Drive, ST AUGUSTINE, FL, 32080
NEERUKONDA SUHAS P Agent 1301 PLANTATION ISLAND DRIVE, SAINT AUGUSTINE, FL, 32080

U.S. Small Business Administration Profile

Phone Number:
E-mail Address:
Fax Number:
904-461-0823
Contact Person:
KALPANA SHRESTHA
User ID:
P1950303

Unique Entity ID

Unique Entity ID:
K4NKN3D9M184
CAGE Code:
7F2X9
UEI Expiration Date:
2025-12-24

Business Information

Activation Date:
2024-12-26
Initial Registration Date:
2015-07-20

Commercial and government entity program

CAGE number:
7F2X9
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2024-12-26
CAGE Expiration:
2029-12-26
SAM Expiration:
2025-12-24

Contact Information

POC:
KALPANA SHRESTHA
Corporate URL:
www.anastasiamedicalgroup.com

National Provider Identifier

NPI Number:
1710940648
Certification Date:
2024-01-15

Authorized Person:

Name:
SUHAS P NEERUKONDA
Role:
MANAGING PARTNER
Phone:

Taxonomy:

Selected Taxonomy:
207RE0101X - Endocrinology, Diabetes & Metabolism Physician
Is Primary:
No
Selected Taxonomy:
213E00000X - Podiatrist
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
9044610823

Form 5500 Series

Employer Identification Number (EIN):
611488381
Plan Year:
2024
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
9
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2015-01-14 1301 PLANTATION ISLAND DR, SUITE 203A, ST AUGUSTINE, FL 32080 -
REGISTERED AGENT NAME CHANGED 2012-02-08 NEERUKONDA, SUHAS P -
REGISTERED AGENT ADDRESS CHANGED 2011-09-21 1301 PLANTATION ISLAND DRIVE, 203A, SAINT AUGUSTINE, FL 32080 -
CHANGE OF PRINCIPAL ADDRESS 2010-01-11 1301 PLANTATION ISLAND DR, SUITE 203A, ST AUGUSTINE, FL 32080 -

Documents

Name Date
ANNUAL REPORT 2025-01-10
ANNUAL REPORT 2024-01-19
ANNUAL REPORT 2023-01-24
ANNUAL REPORT 2022-01-12
ANNUAL REPORT 2021-01-12
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-01-25
ANNUAL REPORT 2018-01-23
ANNUAL REPORT 2017-01-24
ANNUAL REPORT 2016-02-16

USAspending Awards / Financial Assistance

Date:
2020-04-30
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
8000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-30
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
61775.47
Total Face Value Of Loan:
61775.47

Paycheck Protection Program

Jobs Reported:
8
Initial Approval Amount:
$61,775.47
Date Approved:
2020-04-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$61,775.47
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$62,389.84
Servicing Lender:
VyStar CU
Use of Proceeds:
Payroll: $61,775.47

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Date of last update: 02 Aug 2025

Sources: Florida Department of State