| Entity Name: | MOGILISHETTY PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
MOGILISHETTY PLLC 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: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 27 Jul 2020 (5 years ago) |
| Document Number: | L20000221904 |
| FEI/EIN Number |
85-2398209
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 13873 PINE VILLA LN, FORT MYERS, FL, 33912, US |
| Mail Address: | 10012 GULF CENTER DR, STE 5292, FORT MYERS, FL, 33913, US |
| ZIP code: | 33912 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972117109 | 2020-09-04 | 2022-11-11 | 3400 LEE BLVD STE 112, LEHIGH ACRES, FL, 339711309, US | 3400 LEE BLVD STE 112, LEHIGH ACRES, FL, 339711309, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 239-939-0999 |
| Fax | 2399391070 |
Authorized person
| Name | MELANIE WERST |
| Role | CREDENTIALING MANAGER |
| Phone | 2399390999 |
Taxonomy
| Taxonomy Code | 207RN0300X - Nephrology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MOGILISHETTY GAUTHAM M.D. | Manager | 10012 GULF CENTER DR, STE 5292, FORT MYERS, FL, 33913 |
| Dittrich Mary | President | 5851 Legacy Cir, Plano, TX, 75024 |
| Weinberg Thomas L | Chairman | 5851 Legacy Cir, Plano, TX, 75024 |
| Nottingham Steven M.D. | Secretary | 5851 Legacy Cir, Plano, TX, 75024 |
| MOGILISHETTY GAUTHAM M.D. | Agent | 13873 PINE VILLA LN, FORT MYERS, FL, 33912 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000127484 | NEPHROLOGY ASSOCIATES | ACTIVE | 2020-10-01 | 2025-12-31 | - | 10012 GULF CENTER DRIVE, STE 5292, FORT MYERS, FL, 33913 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-02-07 | 3400 Lee Blvd, Lehigh Acres, FL 33990 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-07 |
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-06 |
| ANNUAL REPORT | 2022-03-28 |
| ANNUAL REPORT | 2021-02-16 |
| Florida Limited Liability | 2020-07-27 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
