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