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POTU CARDIOLOGY, PL

Company Details

Entity Name: POTU CARDIOLOGY, PL
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 25 Oct 2011 (13 years ago)
Document Number: L11000121778
FEI/EIN Number 453675596
Address: 6122 W CORPORATE OAKS DRIVE, CRYSTAL RIVER, FL, 34429, US
Mail Address: 6122 W CORPORATE OAKS DRIVE, CRYSTAL RIVER, FL, 34429, US
ZIP code: 34429
County: Citrus
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1871005728 2017-11-01 2017-11-01 6122 W CORPORATE OAKS DR, CRYSTAL RIVER, FL, 344298722, US 6122 W CORPORATE OAKS DR, CRYSTAL RIVER, FL, 344298722, US

Contacts

Phone +1 352-228-8429

Authorized person

Name DR. RANGANATHA POTU
Role OWNER
Phone 3522288429

Taxonomy

Taxonomy Code 207RC0000X - Cardiovascular Disease Physician
License Number ME36819
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
POTU CARDIOLOGY PL PROFIT SHARING PLAN 2023 453675596 2024-07-01 POTU CARDIOLOGY PL 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 3522288429
Plan sponsor’s address 6122 W CORPORATE OAKS DRIVE, CRYSTAL RIVER, FL, 34429

Signature of

Role Plan administrator
Date 2024-07-01
Name of individual signing DR. RANGANATHA POTU
Valid signature Filed with authorized/valid electronic signature
POTU CARDIOLOGY, PL CASH BALANCE PLAN 2022 453675596 2023-02-14 POTU CARDIOLOGY PL 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 3522288429
Plan sponsor’s address 6122 W CORPORATE OAKS DRIVE, CRYSTAL RIVER, FL, 34429

Signature of

Role Plan administrator
Date 2023-02-14
Name of individual signing RANGANATHA POTU
Valid signature Filed with authorized/valid electronic signature
POTU CARDIOLOGY PL PROFIT SHARING PLAN 2022 453675596 2023-07-12 POTU CARDIOLOGY PL 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 3522288429
Plan sponsor’s address 6122 W CORPORATE OAKS DRIVE, CRYSTAL RIVER, FL, 34429

Signature of

Role Plan administrator
Date 2023-07-12
Name of individual signing DR. RANGANATHA POTU
Valid signature Filed with authorized/valid electronic signature
POTU CARDIOLOGY PL PROFIT SHARING PLAN 2021 453675596 2022-09-19 POTU CARDIOLOGY PL 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 3522288429
Plan sponsor’s address 6122 W. CORPORATE OAKS DRIVE, CRYSTAL RIVER, FL, 34429

Signature of

Role Plan administrator
Date 2022-09-19
Name of individual signing DR. RANGANATHA POTU
Valid signature Filed with authorized/valid electronic signature
POTU CARDIOLOGY, PL CASH BALANCE PLAN 2021 453675596 2022-05-22 POTU CARDIOLOGY PL 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 3522288429
Plan sponsor’s address 6122 W CORPORATE OAKS DRIVE, CRYSTAL RIVER, FL, 34429

Signature of

Role Plan administrator
Date 2022-05-22
Name of individual signing RANGANATHA POTU
Valid signature Filed with authorized/valid electronic signature
POTU CARDIOLOGY PL PROFIT SHARING PLAN 2020 453675596 2021-07-08 POTU CARDIOLOGY PL 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 3522288429
Plan sponsor’s address 6122 W. CORPORATE OAKS DRIVE, CRYSTAL RIVER, FL, 34429

Signature of

Role Plan administrator
Date 2021-07-08
Name of individual signing DR. RANGANATHA POTU
Valid signature Filed with authorized/valid electronic signature
POTU CARDIOLOGY, PL CASH BALANCE PLAN 2020 453675596 2021-07-08 POTU CARDIOLOGY PL 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 3522288429
Plan sponsor’s address 6122 W CORPORATE OAKS DRIVE, CRYSTAL RIVER, FL, 34429

Signature of

Role Plan administrator
Date 2021-07-08
Name of individual signing RANGANATHA POTU
Valid signature Filed with authorized/valid electronic signature
POTU CARDIOLOGY, PL CASH BALANCE PLAN 2019 453675596 2020-06-24 POTU CARDIOLOGY PL 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 3522288429
Plan sponsor’s address 6122 W CORPORATE OAKS DRIVE, CRYSTAL RIVER, FL, 34429

Signature of

Role Plan administrator
Date 2020-06-24
Name of individual signing RANGANATHA POTU
Valid signature Filed with authorized/valid electronic signature
POTU CARDIOLOGY PL PROFIT SHARING PLAN 2019 453675596 2020-07-09 POTU CARDIOLOGY PL 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 3522288429
Plan sponsor’s address 6122 W. CORPORATE OAKS DRIVE, CRYSTAL RIVER, FL, 34429

Signature of

Role Plan administrator
Date 2020-07-09
Name of individual signing DR. RANGANATHA POTU
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
POTU RANGANATHA P Agent 3507 W Shadow creek loop, Lecanto, FL, 34461

Manager

Name Role Address
POTU RANGANATHA P Manager 3507 W Shadow creek loop, Lecanto, FL, 34461

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2018-03-30 3507 W Shadow creek loop, Lecanto, FL 34461 No data
CHANGE OF PRINCIPAL ADDRESS 2017-09-20 6122 W CORPORATE OAKS DRIVE, CRYSTAL RIVER, FL 34429 No data
CHANGE OF MAILING ADDRESS 2017-09-20 6122 W CORPORATE OAKS DRIVE, CRYSTAL RIVER, FL 34429 No data
REGISTERED AGENT NAME CHANGED 2013-06-20 POTU, RANGANATHA P No data

Documents

Name Date
ANNUAL REPORT 2024-03-18
ANNUAL REPORT 2023-02-28
ANNUAL REPORT 2022-03-28
ANNUAL REPORT 2021-03-12
ANNUAL REPORT 2020-02-03
ANNUAL REPORT 2019-03-10
ANNUAL REPORT 2018-03-30
ANNUAL REPORT 2017-04-05
ANNUAL REPORT 2016-03-29
ANNUAL REPORT 2015-03-28

Date of last update: 03 Feb 2025

Sources: Florida Department of State