| Entity Name: | HARISH KOTIPOYINA MD, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 11 Aug 2022 (3 years ago) |
| Document Number: | L22000354036 |
| FEI/EIN Number | 883700541 |
| Address: | 8016 NW 37TH RD., APT. #267, GAINESVILLE, FL, 32606, US |
| Mail Address: | PO Box 357564, GAINESVILLE, FL, 32635-7564, US |
| ZIP code: | 32606 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649993361 | 2022-09-20 | 2022-09-20 | PO BOX 357564, GAINESVILLE, FL, 326357564, US | 6500 W NEWBERRY RD, GAINESVILLE, FL, 326054309, US | |||||||||||||
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| Phone | +1 352-333-4000 |
Authorized person
| Name | HARISH KOTIPOYINA |
| Role | PRESIDENT |
| Phone | 8635130967 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KOTIPOYINA HARISH RMD | Agent | 8016 NW 37TH RD., GAINESVILLE, FL, 32606 |
| Name | Role | Address |
|---|---|---|
| KOTIPOYINA HARISH RMD | Authorized Member | 8016 NW 37TH RD. #267, GAINESVILLE, FL, 32606 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-02-13 | 8016 NW 37TH RD., APT. #267, GAINESVILLE, FL 32606 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-13 |
| ANNUAL REPORT | 2023-04-27 |
| Florida Limited Liability | 2022-08-11 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
