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ANITA SALUJA, MD, LLC

Company Details

Entity Name: ANITA SALUJA, MD, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 10 Aug 2015 (9 years ago)
Document Number: L15000136255
FEI/EIN Number 47-4982902
Address: 2758 WYNDHAM WAY, MELBOURNE, FL, 32940, US
Mail Address: 2758 WYNDHAM WAY, MELBOURNE, FL, 32940, US
ZIP code: 32940
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1215462601 2017-04-24 2017-04-24 2758 WYNDHAM WAY, MELBOURNE, FL, 329405970, US 6559 N WICKHAM RD STE C105, MELBOURNE, FL, 329402039, US

Contacts

Phone +1 321-223-1707
Phone +1 321-241-1160

Authorized person

Name DR. RAJESH GUTTA
Role MANAGER
Phone 3212231707

Taxonomy

Taxonomy Code 261QM2500X - Medical Specialty Clinic/Center
License Number ME82777
State FL
Is Primary Yes

Agent

Name Role Address
GUTTA RAJESH Agent 2758 WYNDHAM WAY, MELBOURNE, FL, 32940

Manager

Name Role Address
SALUJA ANITA MD Manager 2758 WYNDHAM WAY, MELBOURNE, FL, 32940
GUTTA RAJESH Manager 2758 WYNDHAM WAY, MELBOURNE, FL, 32940

Documents

Name Date
ANNUAL REPORT 2025-01-12
ANNUAL REPORT 2024-01-29
ANNUAL REPORT 2023-01-19
ANNUAL REPORT 2022-01-21
ANNUAL REPORT 2021-01-08
ANNUAL REPORT 2020-01-12
ANNUAL REPORT 2019-01-29
ANNUAL REPORT 2018-01-11
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-03-11

Date of last update: 02 Feb 2025

Sources: Florida Department of State