| Entity Name: | MANDAL'S CONSERVATIVE NEPHROLOGY PRACTICE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
MANDAL'S CONSERVATIVE NEPHROLOGY PRACTICE, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 08 Mar 2016 (9 years ago) |
| Date of dissolution: | 22 Sep 2017 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (8 years ago) |
| Document Number: | L16000048319 |
| Address: | 800 ZEAGLER DR, SUITE 510, PALATKA, FL, 32177, US |
| Mail Address: | 800 ZEAGLER DR, SUITE 510, PALATKA, FL, 32177, US |
| ZIP code: | 32177 |
| County: | Putnam |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376904417 | 2016-03-17 | 2016-03-17 | 800 ZEAGLER DR, PALATKA, FL, 321773883, US | 800 ZEAGLER DR, PALATKA, FL, 321773883, US | |||||||||||||||||||||||
|
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| Phone | +1 904-824-8158 |
Authorized person
| Name | DR. ANIL KUMAR MANDAL |
| Role | OWNER |
| Phone | 9043051234 |
Taxonomy
| Taxonomy Code | 207RN0300X - Nephrology Physician |
| License Number | ME0074439 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 255413500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MANDAL ANIL K | Manager | 92 LITKE LANE, ST AUGUSTINE, FL, 32086 |
| MANDAL ANIL K | Agent | 92 LITKE LANE, ST AUGUSTINE, FL, 32086 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | - | - |
| Name | Date |
|---|---|
| Florida Limited Liability | 2016-03-08 |
Date of last update: 03 May 2025
Sources: Florida Department of State
