| Entity Name: | MKMD PHYSIATRY CONSULTANTS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 23 Feb 2015 (10 years ago) |
| Document Number: | L15000033228 |
| FEI/EIN Number | 47-3227267 |
| Address: | 6414 MODERN DURAN DRIVE, MELBOURNE, FL, 32940, US |
| Mail Address: | 6414 MODERN DURAN DRIVE, MELBOURNE, FL, 32940, US |
| ZIP code: | 32940 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477945186 | 2015-03-04 | 2015-03-04 | 3189 DRUMMOND WAY, ROCKLEDGE, FL, 329556071, US | 3189 DRUMMOND WAY, ROCKLEDGE, FL, 329556071, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 248-631-7496 |
Authorized person
| Name | MAHATHY KATUKURI |
| Role | OWNER |
| Phone | 2486317496 |
Taxonomy
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KATUKURI MAHATHY | Agent | 6414 Modern Duran Dr, MELBOURNE, FL, 32940 |
| Name | Role | Address |
|---|---|---|
| KATUKURI MAHATHY | Managing Member | 6414 MODERN DURAN DRIVE, MELBOURNE, FL, 32940 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2020-01-13 | 6414 Modern Duran Dr, MELBOURNE, FL 32940 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-09-16 | 6414 MODERN DURAN DRIVE, MELBOURNE, FL 32940 | No data |
| CHANGE OF MAILING ADDRESS | 2019-09-16 | 6414 MODERN DURAN DRIVE, MELBOURNE, FL 32940 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-14 |
| ANNUAL REPORT | 2024-02-18 |
| ANNUAL REPORT | 2023-03-05 |
| ANNUAL REPORT | 2022-01-10 |
| ANNUAL REPORT | 2021-01-06 |
| ANNUAL REPORT | 2020-01-13 |
| ANNUAL REPORT | 2019-01-02 |
| ANNUAL REPORT | 2018-01-03 |
| ANNUAL REPORT | 2017-01-08 |
| ANNUAL REPORT | 2016-01-11 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
