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BEACH GASTRO, LLC

Company Details

Entity Name: BEACH GASTRO, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 01 May 2018 (7 years ago)
Date of dissolution: 27 Sep 2019 (5 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2019 (5 years ago)
Document Number: L18000105843
Address: 10581 VERSAILLES BLVD, WELLINGTON, FL 33449
Mail Address: 10581 VERSAILLES BLVD, WELLINGTON, FL 33449
ZIP code: 33449
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1376036145 2018-06-07 2018-06-07 4460 MEDICAL CENTER WAY, WEST PALM BEACH, FL, 334073285, US 4460 MEDICAL CENTER WAY, WEST PALM BEACH, FL, 334073285, US

Contacts

Phone +1 863-824-3447
Fax 8638243472

Authorized person

Name TERESA POTREKUS PEREZ
Role DIRECTOR OF OPERATIONS
Phone 8638243447

Taxonomy

Taxonomy Code 207RG0100X - Gastroenterology Physician
Is Primary Yes

Agent

Name Role Address
TARUGU, VIKRAM Agent 10581 VERSAILLES BLVD, WELLINGTON, FL 33449

Manager

Name Role Address
TARUGU, VIKRAM Manager 10581 VERSAILLES BLVD, WELLINGTON, FL 33449
TARUGU, SHILPA Manager 10581 VERSAILLES BLVD, WELLINGTON, FL 33449

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 No data No data

Documents

Name Date
Florida Limited Liability 2018-05-01

Date of last update: 18 Jan 2025

Sources: Florida Department of State