| Entity Name: | AKRO GASTRO, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 06 Apr 2016 (9 years ago) |
| Document Number: | L16000067593 |
| FEI/EIN Number | 81-2154875 |
| Mail Address: | 201 SW 16th St, OKEECHOBEE, FL, 34974, US |
| Address: | 201 SW 16TH ST, OKEECHOBEE, FL, 34974, US |
| ZIP code: | 34974 |
| County: | Okeechobee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1669836847 | 2016-04-13 | 2024-09-06 | 201 SW 16TH ST, OKEECHOBEE, FL, 349746117, US | 201 SW 16TH ST, OKEECHOBEE, FL, 349746117, US | |||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 863-824-3347 |
| Fax | 8638243472 |
Authorized person
| Name | DR. VIKRAM TARUGU |
| Role | OWNER |
| Phone | 8638243447 |
Taxonomy
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| License Number | ME10611 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 112076000 |
| State | FL |
| Issuer | MEDICARE PTAN |
| Number | PP930 |
| State | FL |
| Issuer | NPI FOR AKRO GASTRO |
| Number | 1669836847 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| TARUGU VIKRAM | Agent | 201 SW 16th St, OKEECHOBEE, FL, 34974 |
| Name | Role | Address |
|---|---|---|
| TARUGU VIKRAM | Managing Member | 201 SW 16th St, OKEECHOBEE, FL, 34974 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2017-01-12 | 201 SW 16TH ST, OKEECHOBEE, FL 34974 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-01-12 | 201 SW 16th St, OKEECHOBEE, FL 34974 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-09-06 | 201 SW 16TH ST, OKEECHOBEE, FL 34974 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-02 |
| ANNUAL REPORT | 2024-01-29 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-02-18 |
| ANNUAL REPORT | 2020-01-17 |
| ANNUAL REPORT | 2019-02-11 |
| ANNUAL REPORT | 2018-04-03 |
| ANNUAL REPORT | 2017-01-12 |
| Florida Limited Liability | 2016-04-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
