| Entity Name: | DR. MANOHAR G. REDDY, MD, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 06 Jun 2002 (23 years ago) |
| Document Number: | P02000063198 |
| FEI/EIN Number | 01-0711600 |
| Address: | 2551 WEST EAU GALLE BLVD, MELBOURNE, FL 32935 |
| Mail Address: | 2551 WEST EAU GALLE BLVD, MELBOURNE, FL 32935 |
| ZIP code: | 32935 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053510305 | 2007-07-17 | 2007-08-28 | 2551 W EAU GALLIE BLVD, SUITE 101, MELBOURNE, FL, 329358954, US | 2551 W EAU GALLIE BLVD, SUITE 101, MELBOURNE, FL, 329358954, US | |||||||||||||||||||
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| Phone | +1 321-752-5544 |
| Fax | 3217525957 |
Authorized person
| Name | DR. MANOHAR G REDDY |
| Role | PHYSICIAN/OWNER |
| Phone | 3217525544 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME0073885 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GEMMELL, MICHAEL S | Agent | 565 JACKSON AVENUE STE C, SATELLITE BEACH, FL 32937 |
| Name | Role | Address |
|---|---|---|
| REDDY, MANOHAR GMD | President | 2913 BELLWIND CIRCLE, ROCKLEDGE, FL 32955 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-30 | 565 JACKSON AVENUE STE C, SATELLITE BEACH, FL 32937 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-04-30 | 2551 WEST EAU GALLE BLVD, MELBOURNE, FL 32935 | No data |
| CHANGE OF MAILING ADDRESS | 2007-04-30 | 2551 WEST EAU GALLE BLVD, MELBOURNE, FL 32935 | No data |
| REGISTERED AGENT NAME CHANGED | 2004-04-05 | GEMMELL, MICHAEL S | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-29 |
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-06-24 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-29 |
| ANNUAL REPORT | 2017-04-17 |
| ANNUAL REPORT | 2016-04-14 |
| ANNUAL REPORT | 2015-04-13 |
Date of last update: 31 Jan 2025
Sources: Florida Department of State
