| Entity Name: | CITRUS CARDIOLOGY CONSULTANTS, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
CITRUS CARDIOLOGY CONSULTANTS, 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: | 01 Sep 2023 (2 years ago) |
| Last Event: | CONVERSION |
| Event Date Filed: | 01 Sep 2023 (2 years ago) |
| Document Number: | L23000408629 |
| FEI/EIN Number |
592123944
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 308 W. HIGHLAND BLVD, INVERNES, FL, 34452-4716, US |
| Mail Address: | 308 W. HIGHLAND BLVD, INVERNES, FL, 34452-4716, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1669405379 | 2006-07-08 | 2023-10-12 | 308 W HIGHLAND BLVD, INVERNESS, FL, 344524716, US | 308 W HIGHLAND BLVD, INVERNESS, FL, 344524716, US | |||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 352-726-8353 |
| Fax | 3527265038 |
Authorized person
| Name | NISHANT NERELLA |
| Role | PRESIDENT |
| Phone | 3527268353 |
Taxonomy
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| Is Primary | Yes |
| Taxonomy Code | 207RC0001X - Clinical Cardiac Electrophysiology Physician |
| Is Primary | No |
| Taxonomy Code | 207RI0011X - Interventional Cardiology Physician |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICARE RR |
| Number | CF1416 |
| State | FL |
| Issuer | BCBS OF FL |
| Number | 77940 |
| State | FL |
| Issuer | MEDICAID |
| Number | 269859500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| NERELLA NISHANT M.D. | Manager | 308 W. HIGHLAND BLVD, INVERNESS, FL, 344524716 |
| DELOACH JERRALD | Agent | 308 W. HIGHLAND BLVD, INVERNESS, FL, 344524716 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CONVERSION | 2023-09-01 | - | CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS F45747. CONVERSION NUMBER 900000243759 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-06 |
| ANNUAL REPORT | 2024-02-14 |
| Florida Limited Liability | 2023-09-01 |
Date of last update: 03 Mar 2025
Sources: Florida Department of State
