| Entity Name: | SOMASHEKAR PALLEGAR, M.D., P.L. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 12 Nov 1998 (26 years ago) |
| Document Number: | L98000002673 |
| FEI/EIN Number | 650874508 |
| Address: | 1811 BAYSHORE GARDENS PKWY, BRADENTON, FL, 34207 |
| Mail Address: | 1811 BAYSHORE GARDENS PKWY, BRADENTON, FL, 34207 |
| ZIP code: | 34207 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811083405 | 2006-10-04 | 2017-02-20 | 1811 BAYSHORE GARDENS PARKWAY, BRADENTON, FL, 34207, US | 1811 BAYSHORE GARDENS PARKWAY, BRADENTON, FL, 34207, US | |||||||||||||||||||
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| Phone | +1 941-755-9550 |
| Fax | 9417558520 |
Authorized person
| Name | MRS. MARIE MILLER |
| Role | PRACTICE MANAGER |
| Phone | 9417559550 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME0076940 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PALLEGAR S. M | Agent | 1811 BAYSHORE GARDENS PKWY, BRADENTON, FL, 34207 |
| Name | Role | Address |
|---|---|---|
| PALLEGAR SOMASHEKAR M | Managing Member | 1811 BAYSHORE GARDENS PARKWAY, BRADENTON, FL, 34207 |
| Name | Role | Address |
|---|---|---|
| PALLEGAR GEETHA | Manager | 1811 BAY SHORE GARDENS PARKWAY, BRADENTON, FL, 34207 |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
