| Entity Name: | SURESH RAJA MD LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 Aug 2019 (5 years ago) |
| Document Number: | L19000209880 |
| FEI/EIN Number | 84-2829638 |
| Address: | 11104 GREEN BAYBERRY DRIVE, PALM BEACH GARDENS, FL, 33418 |
| Mail Address: | 11104 GREEN BAYBERRY DRIVE, PALM BEACH GARDENS, FL, 33418 |
| ZIP code: | 33418 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104446467 | 2020-04-16 | 2023-08-28 | 11104 GREEN BAYBERRY DR, PALM BEACH GARDENS, FL, 334181510, US | 11104 GREEN BAYBERRY DR, PALM BEACH GARDENS, FL, 334181510, US | |||||||||||||||||||
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| Phone | +1 561-767-0721 |
| Fax | 5614296223 |
Authorized person
| Name | DR. SURESH RAJAMANICKAM |
| Role | DIRECT OWNER |
| Phone | 5617670721 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| Is Primary | Yes |
| Taxonomy Code | 261QR1100X - Research Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| RAJAMANICKAM SURESH | Agent | 11104 GREEN BAYBERRY DRIVE, PALM BEACH GARDENS, FL, 33418 |
| Name | Role | Address |
|---|---|---|
| RAJAMANICKAM SURESH | Manager | 11104 GREEN BAYBERRY DRIVE, PALM BEACH GARDENS, FL, 33418 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-24 |
| ANNUAL REPORT | 2023-02-24 |
| ANNUAL REPORT | 2022-02-01 |
| ANNUAL REPORT | 2021-02-02 |
| ANNUAL REPORT | 2020-03-07 |
| Florida Limited Liability | 2019-08-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
