| Entity Name: | GANESH CHARI, MD LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 08 Mar 2024 (a year ago) |
| Document Number: | L24000119159 |
| Address: | 4521 HARBOR POINTE DR, PORT RICHEY, FL 34668 |
| Mail Address: | 4521 HARBOR POINTE DR, PORT RICHEY, FL 34668 |
| ZIP code: | 34668 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184463523 | 2024-05-24 | 2024-05-24 | 4521 HARBORPOINTE DR, PORT RICHEY, FL, 346686174, US | 4521 HARBORPOINTE DR, PORT RICHEY, FL, 346686174, US | |||||||||||||
|
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| Phone | +1 727-243-6365 |
Authorized person
| Name | ROSA TORRES |
| Role | CREDENTIALING MANAGER |
| Phone | 4074130950 |
Taxonomy
| Taxonomy Code | 2084N0400X - Neurology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MCKEE, ELIZABETH | Agent | 1401 E 22ND AVE, TAMPA, FL 33605 |
| Name | Role | Address |
|---|---|---|
| CHARI, GANESH | Manager | 4521 HARBOR POINTE DR, PORT RICHEY, FL 34668 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-03-08 |
Date of last update: 07 Jan 2025
Sources: Florida Department of State
