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  5. ANASTASIA MEDICAL GROUP LLC

ANASTASIA MEDICAL GROUP LLC - Florida Company Profile

Company Details

Entity Name: ANASTASIA MEDICAL GROUP LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

ANASTASIA MEDICAL GROUP LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 11 May 2005 (20 years ago)
Document Number: L05000046806
FEI/EIN Number 611488381

Federal Employer Identification (FEI) Number assigned by the IRS.
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
County: St. Johns
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1710940648 2006-04-11 2024-01-15 1301 PLANTATION ISLAND DRIVE, SUITE 203A, ST AUGUSTINE, FL, 32080, US 1301 PLANTATION ISLAND DRIVE, SUITE 203A, ST AUGUSTINE, FL, 32080, US

Contacts
Phone +1 904-461-0821
Fax 9044610823

Authorized person
Name SUHAS P NEERUKONDA
Role MANAGING PARTNER
Phone 9044610343

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

Other Provider Identifiers
Issuer BCBS
Number 99767
State FL
Issuer MEDICAID
Number 277020200
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ANASTASIA MEDICAL GROUP LLC 401(K) PROFIT SHARING PLAN & TRUST 2023 611488381 2024-05-07 ANASTASIA MEDICAL GROUP LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 9044610821
Plan sponsor’s address 1301 PLANTATION ISLAND DRIVE S, SUITE 203A, SAINT AUGUSTINE, FL, 320803111

Signature of
Role Plan administrator
Date 2024-05-07
Name of individual signing SUHAS NEERUKONDA
Valid signature Filed with authorized/valid electronic signature
ANASTASIA MEDICAL GROUP LLC 401(K) PROFIT SHARING PLAN & TRUST 2022 611488381 2023-05-17 ANASTASIA MEDICAL GROUP LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 9044610821
Plan sponsor’s address 1301 PLANTATION ISLAND DRIVE SUITE, SAINT AUGUSTINE, FL, 320803111

Signature of
Role Plan administrator
Date 2023-05-17
Name of individual signing SUHAS NEERUKONDA
Valid signature Filed with authorized/valid electronic signature
ANASTASIA MEDICAL GROUP 401(K) PROFIT SHARING PLAN 2021 611488381 2022-05-16 ANASTASIA MEDICAL GROUP, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 9044610821
Plan sponsor’s address 1301 PLANTATION ISLAND DRIVE SUITE, ST. AUGUSTINE, FL, 32080

Signature of
Role Plan administrator
Date 2022-05-16
Name of individual signing SUHAS NEERUKONDA
Valid signature Filed with authorized/valid electronic signature
ANASTASIA MEDICAL GROUP 401(K) PROFIT SHARING PLAN 2020 611488381 2021-05-17 ANASTASIA MEDICAL GROUP, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 9044610821
Plan sponsor’s address 1301 PLANTATION ISLAND DRIVE SUITE, ST. AUGUSTINE, FL, 32080

Signature of
Role Plan administrator
Date 2021-05-17
Name of individual signing SUHAS NEERUKONDA
Valid signature Filed with authorized/valid electronic signature
ANASTASIA MEDICAL GROUP 401(K) PROFIT SHARING PLAN 2019 611488381 2020-04-29 ANASTASIA MEDICAL GROUP, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 9044610821
Plan sponsor’s address 1301 PLANTATION ISLAND DRIVE SUITE, ST. AUGUSTINE, FL, 32080

Signature of
Role Plan administrator
Date 2020-04-29
Name of individual signing SUHAS NEERUKONDA
Valid signature Filed with authorized/valid electronic signature
ANASTASIA MEDICAL GROUP 401(K) PROFIT SHARING PLAN 2018 611488381 2019-05-15 ANASTASIA MEDICAL GROUP, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 9044610821
Plan sponsor’s address 1301 PLANTATION ISLAND DRIVE SUITE, ST. AUGUSTINE, FL, 32080

Signature of
Role Plan administrator
Date 2019-05-15
Name of individual signing SUHAS NEERUKONDA
Valid signature Filed with authorized/valid electronic signature
ANASTASIA MEDICAL GROUP 401(K) PROFIT SHARING PLAN 2017 611488381 2018-07-02 ANASTASIA MEDICAL GROUP, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 9044610821
Plan sponsor’s address 1301 PLANTATION ISLAND DRIVE SUITE, ST. AUGUSTINE, FL, 32080

Signature of
Role Plan administrator
Date 2018-07-02
Name of individual signing SUHAS NEERUKONDA
Valid signature Filed with authorized/valid electronic signature
ANASTASIA MEDICAL GROUP 401(K) PROFIT SHARING PLAN 2016 611488381 2017-04-24 ANASTASIA MEDICAL GROUP 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 9044610821
Plan sponsor’s address 1301 PLANTATION ISLAND DR, STE 203A, ST. AUGUSTINE, FL, 320803110

Signature of
Role Plan administrator
Date 2017-04-24
Name of individual signing SUHAS NEERUKONDA
Valid signature Filed with authorized/valid electronic signature
ANASTASIA MEDICAL GROUP 401(K) PROFIT SHARING PLAN 2015 611488381 2016-07-25 ANASTASIA MEDICAL GROUP 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 9044610821
Plan sponsor’s address 1301 PLANTATION ISLAND DR, STE 203A, ST. AUGUSTINE, FL, 320803110

Signature of
Role Plan administrator
Date 2016-07-25
Name of individual signing SUHAS NEERUKONDA
Valid signature Filed with authorized/valid electronic signature
ANASTASIA MEDICAL GROUP 401(K) PROFIT SHARING PLAN 2014 611488381 2015-06-08 ANASTASIA MEDICAL GROUP 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 9044610821
Plan sponsor’s address 1301 PLANTATION ISLAND DR, STE 203A, ST. AUGUSTINE, FL, 320803110

Signature of
Role Plan administrator
Date 2015-06-08
Name of individual signing SUHAS NEERUKONDA
Valid signature Filed with authorized/valid electronic signature

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

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

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5061997310 2020-04-30 0491 PPP 1301 Plantation Island Drive Suite 203A, SAINT AUGUSTINE, FL, 32080-3111
Loan Status Date 2021-05-18
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 61775.47
Loan Approval Amount (current) 61775.47
Undisbursed Amount 0
Franchise Name -
Lender Location ID 94425
Servicing Lender Name VyStar CU
Servicing Lender Address 76 S Laura St, JACKSONVILLE, FL, 32202
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address SAINT AUGUSTINE, SAINT JOHNS, FL, 32080-3111
Project Congressional District FL-05
Number of Employees 8
NAICS code 424410
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Partnership
Originating Lender ID 94425
Originating Lender Name VyStar CU
Originating Lender Address JACKSONVILLE, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 62389.84
Forgiveness Paid Date 2021-04-29

U.S. Small Business Administration Profile

Status User ID Name of Firm Trade Name UEI Address
Active P1950303 ANASTASIA MEDICAL GROUP LLC - K4NKN3D9M184 1301 PLANTATION ISLAND DR S, STE 203 A, SAINT AUGUSTINE, FL, 32080-3108
Capabilities Statement Link -
Phone Number 904-461-0821
Fax Number 904-461-0823
E-mail Address anast105@yahoo.com
WWW Page www.anastasiamedicalgroup.com
E-Commerce Website -
Contact Person KALPANA SHRESTHA
County Code (3 digit) 109
Congressional District 05
Metropolitan Statistical Area 3600
CAGE Code 7F2X9
Year Established 2005
Accepts Government Credit Card Yes
Legal Structure LLC
Ownership and Self-Certifications -
Business Development Servicing Office NORTH FLORIDA DISTRICT OFFICE (SBA office code 0491)
Capabilities Narrative (none given)
Special Equipment/Materials (none given)
Business Type Percentages (none given)
Keywords (none given)
Quality Assurance Standards (none given)
Electronic Data Interchange capable -

SBA Federal Certifications
HUBZone Certified No
Women Owned Certified No
Women Owned Pending No
Economically Disadvantaged Women Owned Certified No
Economically Disadvantaged Women Owned Pending No
Veteran-Owned Small Business Certified No
Veteran-Owned Small Business Joint Venture No
Service-Disabled Veteran-Owned Small Business Certified No
Service-Disabled Veteran-Owned Small Business Joint Venture No

Bonding Levels
Description Construction Bonding Level (per contract)
Level (none given)
Description Construction Bonding Level (aggregate)
Level (none given)
Description Service Bonding Level (per contract)
Level (none given)
Description Service Bonding Level (aggregate)
Level (none given)

NAICS Codes with Size Determinations by NAICS
Primary Yes
Code 621111
NAICS Code's Description Offices of Physicians (except Mental Health Specialists)
Buy Green Yes

Export Profile (Trade Mission Online)
Exporter Firm hasn't answered this question yet
Export Business Activities (none given)
Exporting to (none given)
Desired Export Business Relationships (none given)
Description of Export Objective(s) (none given)

Companies related by officers

NEERUKONDA SUHAS

SENEPE LLC - Inactive
Florida Limited Liability Co. (2004 - 2013)
PHANSEM LLC - Active
Florida Limited Liability Co. (2005 )
SUHAS NEERUKONDA, M.D., LLC - Inactive
Florida Limited Liability Co. (2005 - 2021)

PEREIRA RYAN

SENEPE LLC - Inactive
Florida Limited Liability Co. (2004 - 2013)
QUAD ANCHOR INVESTMENTS LLC. - Inactive
Florida Limited Liability Co. (2004 - 2005)
GLOBAL WATER FOUNDATION INC. - Active
Domestic Non-Profit (2021 )
AXION APPAREL LLC - Inactive
Florida Limited Liability Co. (2017 - 2021)
THE LIMB CARE CENTER LLC - Inactive
Florida Limited Liability Co. (2005 - 2016)
THE LIMB CARE CENTER LLC - Inactive
Florida Limited Liability Co. (2005 - 2016)

NEERUKONDA SUHAS P

SENEPE LLC - Inactive
Florida Limited Liability Co. (2004 - 2013)
PHANSEM LLC - Active
Florida Limited Liability Co. (2005 )
HARBOR ISLAND LASER CENTER, LLC - Inactive
Florida Limited Liability Co. (2011 - 2014)
SUHAS NEERUKONDA, M.D., LLC - Inactive
Florida Limited Liability Co. (2005 - 2021)

Companies related by address

No other companies in our directory share the same address as ANASTASIA MEDICAL GROUP LLC

Date of last update: 02 Apr 2025

Sources: Florida Department of State

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