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  5. VENRA MEDICAL ASSOCIATES, LLC

VENRA MEDICAL ASSOCIATES, LLC

Company Details

Entity Name: VENRA MEDICAL ASSOCIATES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 30 Mar 2007 (18 years ago)
Date of dissolution: 22 Sep 2017 (7 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2017 (7 years ago)
Document Number: L07000034025
FEI/EIN Number 208741369
Mail Address: PO Box 8146, 201 W. Ocean Ave., Lantana, FL, 33462, US
Address: 1157 SOUTH STATE ROAD 7, WELLINGTON, FL, 33414, US
ZIP code: 33414
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1760504591 2007-04-04 2013-06-21 1157 S STATE ROAD 7, WELLINGTON, FL, 334146101, US 1157 S STATE ROAD 7, WELLINGTON, FL, 334146101, US

Contacts
Phone +1 561-795-3330
Fax 5617951030

Authorized person
Name DR. KRISHNA TRIPURANENI
Role OWNER
Phone 5617953330

Taxonomy
Taxonomy Code 174400000X - Specialist
License Number ME64204
State FL
Is Primary Yes

Other Provider Identifiers
Issuer BCBS
Number 24444
State FL
Issuer MEDICAID
Number 001261400
State FL
Issuer MEDICARE PTAN
Number AI435
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
VENRA MEDICAL ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN 2017 650747431 2018-07-27 VENRA MEDICAL ASSOCIATES, LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 5617953330
Plan sponsor’s address 4600 N OCEAN DR, RIVIERA BEACH, FL, 334042679
VENRA MEDICAL ASSOCIATES, LLC CASH BALANCE PLAN 2016 208741369 2017-04-13 VENRA MEDICAL ASSOCIATES, LLC 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 5617953330
Plan sponsor’s address 4600 N. OCEAN DR., UNIT 1903, SINGER ISLAND, FL, 33404

Signature of
Role Plan administrator
Date 2017-04-13
Name of individual signing NIRMALA TRIPURANENI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-04-13
Name of individual signing NIRMALA TRIPURANENI
Valid signature Filed with authorized/valid electronic signature
VENRA MEDICAL ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN 2016 650747431 2017-10-03 VENRA MEDICAL ASSOCIATES, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 5617953330
Plan sponsor’s address PO BOX 8146, LANTANA, FL, 334658146
VENRA MEDICAL ASSOCIATES LLC CASH BALANCE PLAN 2016 208741369 2017-06-28 VENRA MEDICAL ASSOCIATES LLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 5613090038
Plan sponsor’s address 4600 N OCEAN DR APT 1903, RIVIERA BEACH, FL, 334042795

Signature of
Role Plan administrator
Date 2017-06-28
Name of individual signing NIRMALA TRIPURANENI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-28
Name of individual signing NIRMALA TRIPURANENI
Valid signature Filed with authorized/valid electronic signature
VENRA MEDICAL ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN 2015 650747431 2016-09-23 VENRA MEDICAL ASSOCIATES, LLC 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 5617953330
Plan sponsor’s address 840 SOUTH OCEAN BOULEVARD, MANALAPAN, FL, 33462

Signature of
Role Plan administrator
Date 2016-09-23
Name of individual signing RAMYA TRIPURANENI
Valid signature Filed with authorized/valid electronic signature
VENRA MEDICAL ASSOCIATES, LLC CASH BALANCE PLAN 2015 208741369 2016-09-28 VENRA MEDICAL ASSOCIATES, LLC 28
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 5617953330
Plan sponsor’s address 1157 SOUTH STATE ROAD 7, WELLINGTON, FL, 33414

Signature of
Role Plan administrator
Date 2016-09-28
Name of individual signing NIRMALA TRIPURANENI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-09-28
Name of individual signing NIRMALA TRIPURANENI
Valid signature Filed with authorized/valid electronic signature
VENRA MEDICAL ASSOCIATES, LLC CASH BALANCE PLAN 2014 208741369 2015-10-13 VENRA MEDICAL ASSOCIATES, LLC 27
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 5617953330
Plan sponsor’s address 1157 SOUTH STATE ROAD 7, WELLINGTON, FL, 33414

Signature of
Role Plan administrator
Date 2015-10-13
Name of individual signing NIRMALA TRIPURANENI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-13
Name of individual signing NIRMALA TRIPURANENI
Valid signature Filed with authorized/valid electronic signature
VENRA MEDICAL ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN 2014 650747431 2015-10-15 VENRA MEDICAL ASSOCIATES, LLC 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 5617953330
Plan sponsor’s address 1157 SOUTH STATE ROAD, SUITE 7, WELLINGTON, FL, 33414

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing NIRMALA TRIPURANENI
Valid signature Filed with authorized/valid electronic signature
VENRA MEDICAL ASSOCIATES LLC 401(K) PROFIT SHARING PLAN & TRUST 2013 208741369 2016-04-07 VENRA MEDICAL ASSOCIATES LLC 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-10-01
Business code 621498
Sponsor’s telephone number 5617953677
Plan sponsor’s address PO 8146, 201 W. OCEAN AVE., LANTANA, FL, 33462

Signature of
Role Plan administrator
Date 2016-01-11
Name of individual signing RAMYA TRIPURANENI
Valid signature Filed with authorized/valid electronic signature
VENRA MEDICAL ASSOCIATES, LLC CASH BALANCE PLAN 2013 208741369 2014-10-13 VENRA MEDICAL ASSOCIATES, LLC 23
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 5617953330
Plan sponsor’s address 1157 SOUTH STATE ROAD 7, WELLINGTON, FL, 33414

Signature of
Role Plan administrator
Date 2014-10-13
Name of individual signing KRISHNA TRIPURANENI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-13
Name of individual signing KRISHNA TRIPURANENI
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
TRIPURANENI KRISHNA Agent 1157 SOUTH STATE ROAD 7, WELLINGTON, FL, 33414

President

Name Role Address
TRIPURANENI KRISHNA President PO Box 8146, Lantana, FL, 33462

Secretary

Name Role Address
TRIPURANENI KRISHNA Secretary PO Box 8146, Lantana, FL, 33462
TRIPURANENI Ramya Secretary PO Box 8146, Lantana, FL, 33462

Treasurer

Name Role Address
TRIPURANENI KRISHNA Treasurer PO Box 8146, Lantana, FL, 33462

Vice President

Name Role Address
TRIPURANENI Ramya Vice President PO Box 8146, Lantana, FL, 33462

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G13000119188 PALM BEACH GASTROENTEROLOGY CONSULTANTS EXPIRED 2013-12-06 2018-12-31 No data 1157 SOUTH STATE ROAD 7, WELLINGTON, FL, 33414
G13000092536 PB ANESTHESIA ASSOCIATES EXPIRED 2013-09-18 2018-12-31 No data 1157 SOUTH STATE ROAD 7, WELLINGTON, FL, 33414
G12000101983 RAVEN LABS EXPIRED 2012-10-19 2017-12-31 No data 1157 SOUTH STATE ROAD 7, WELLINGTON, FL, 33414
G11000073009 VENRA WEIGHT LOSS AND WELLNESS CENTER EXPIRED 2011-07-21 2016-12-31 No data 1157 SOUTH STATE ROAD 7, WELLINGTON, FL, 33414

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2017-09-22 No data No data
CHANGE OF MAILING ADDRESS 2016-05-04 1157 SOUTH STATE ROAD 7, WELLINGTON, FL 33414 No data
REGISTERED AGENT ADDRESS CHANGED 2016-05-04 1157 SOUTH STATE ROAD 7, WELLINGTON, FL 33414 No data
LC AMENDMENT 2014-07-07 No data No data
CHANGE OF PRINCIPAL ADDRESS 2011-01-25 1157 SOUTH STATE ROAD 7, WELLINGTON, FL 33414 No data
LC AMENDMENT 2010-09-13 No data No data

Documents

Name Date
ANNUAL REPORT 2016-05-04
ANNUAL REPORT 2015-01-28
LC Amendment 2014-07-07
ANNUAL REPORT 2014-01-30
ANNUAL REPORT 2013-01-22
ANNUAL REPORT 2012-01-26
ANNUAL REPORT 2011-01-25
LC Amendment 2010-09-13
ANNUAL REPORT 2010-04-01
ANNUAL REPORT 2009-06-16

Related by officers

TRIPURANENI KRISHNA

RAVEN LABS LLC VENRA SLEEP LAB LLC NT EQUIPMENT, LLC VENRA MANAGEMENT, LLC 801 BEACHFRONT, LLC VENRA PRIMARY CARE, LLC VENRA GROUP, INC. PALM BEACH SURGERY CENTER, LLC. VENRA CLINICAL STUDIES, LLC PALM BEACH CANCER CENTER, LLC

TRIPURANENI Ramya

RAVEN CABLE, LLC 1503 BEACHFRONT, LLC 1903 BEACHFRONT, LLC NT MANAGEMENT, LLC

Related by address

PO Box 8146, 201 W. Ocean Ave., Lantana, FL, 33462, US

THE K.T. FAMILY LIMITED PARTNERSHIP NT FAMILY LIMITED PARTNERSHIP NT MANAGEMENT, LLC

1157 SOUTH STATE ROAD 7, WELLINGTON, FL, 33414, US

RAVEN LABS LLC PALM BEACH GASTROENTEROLOGY CONSULTANTS, INC. P B ANESTHESIA ASSOCIATES, LLC PALM BEACH GASTROENTEROLOGY CONSULTANTS, LLC

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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