| Entity Name: | JAIDEEP PURI MD PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 18 Apr 2014 (11 years ago) |
| Document Number: | L14000063785 |
| FEI/EIN Number | 46-5449716 |
| Address: | 221 GREENWICH CIRCLE, STE 110, JUPITER, FL 33458 |
| Mail Address: | 221 GREENWICH CIRCLE, STE 110, JUPITER, FL 33458 |
| ZIP code: | 33458 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467860106 | 2014-07-25 | 2014-07-29 | 221 GREENWICH CIR, SUITE 110, JUPITER, FL, 334582890, US | 221 GREENWICH CIR, SUITE 110, JUPITER, FL, 334582890, US | |||||||||||||||
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| Phone | +1 561-694-1021 |
| Fax | 5616941908 |
Authorized person
| Name | MISS DAWN MORGAN |
| Role | CREDENTIALING COORDINATOR |
| Phone | 9419537451 |
Taxonomy
| Taxonomy Code | 207RN0300X - Nephrology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PURI, JAIDEEP | Agent | 221 GREENWICH CIRCLE, STE 110, JUPITER, FL 33458 |
| Name | Role | Address |
|---|---|---|
| PURI, JAIDEEP | Manager | 221 GREENWICH CIRCLE STE 110, JUPITER, FL 33458 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-29 |
| ANNUAL REPORT | 2023-03-17 |
| ANNUAL REPORT | 2022-03-28 |
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-03-01 |
| ANNUAL REPORT | 2019-02-06 |
| ANNUAL REPORT | 2018-01-17 |
| ANNUAL REPORT | 2017-01-18 |
| ANNUAL REPORT | 2016-01-23 |
| ANNUAL REPORT | 2015-01-10 |
Date of last update: 21 Feb 2025
Sources: Florida Department of State
