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FLORIDA ENDOCRINOLOGY GROUP,LLC

Company Details

Entity Name: FLORIDA ENDOCRINOLOGY GROUP,LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 27 Oct 2016 (8 years ago)
Date of dissolution: 09 Dec 2016 (8 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 09 Dec 2016 (8 years ago)
Document Number: L16000198181
Address: 34041 U.S HWY.19N;, C, PALM HARBOR, FL, 34684
Mail Address: 34041 U.S HWY.19N;, C, PALM HARBOR, FL, 34684
ZIP code: 34684
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1639621345 2016-10-28 2016-10-28 34041 US HIGHWAY 19 N, SUITE C, PALM HARBOR, FL, 346842648, US 34041 US HIGHWAY 19 N, SUITE C, PALM HARBOR, FL, 346842648, US

Contacts

Phone +1 727-480-5619

Authorized person

Name DR. SOMWYA SURYANARAYANAN
Role OWNER
Phone 7274805619

Taxonomy

Taxonomy Code 207RE0101X - Endocrinology, Diabetes & Metabolism Physician
License Number ME117683
State FL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAL LISCENCE
Number ME117683
State FL

Agent

Name Role Address
SURYANARAYANAN SOWMYA MD Agent 34041 U.S HWY.19N;, PALM HARBOR, FL, 34684

Director

Name Role Address
SURYANARAYANAN SOWMYA Director 2302 HANNAH WAY N, DUNEDIN, FL, 34698

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2016-12-09 No data No data

Documents

Name Date
Florida Limited Liability 2016-10-27

Date of last update: 01 Feb 2025

Sources: Florida Department of State