| Entity Name: | RAVIKANTH CHIRAVURI MD PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 19 Mar 2013 (12 years ago) |
| Document Number: | P13000025560 |
| FEI/EIN Number | 46-2320088 |
| Address: | 1931 NW 150th Avenue, Pembroke Pines, FL, 33028, US |
| Mail Address: | 1931 NW 150th Avenue, Pembroke Pines, FL, 33028, US |
| ZIP code: | 33028 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699017863 | 2013-03-26 | 2015-09-12 | 4420 SHERIDAN ST, SUITE C, HOLLYWOOD, FL, 330213552, US | 4420 SHERIDAN ST, SUITE C, HOLLYWOOD, FL, 330213552, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 305-396-3858 |
| Fax | 3055140636 |
Authorized person
| Name | RAVIKANTH CHIRAVURI |
| Role | PRESIDENT |
| Phone | 3057029441 |
Taxonomy
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| License Number | ME 84617 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CHIRAVURI RAVIKANTH MD | Agent | 1931 NW 150th Avenue, Pembroke Pines, FL, 33028 |
| Name | Role | Address |
|---|---|---|
| CHIRAVURI RAVIKANTH MD | President | 1931 NW 150th Avenue, Pembroke Pines, FL, 33028 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000122856 | REVITALIZE CARE MD | EXPIRED | 2013-12-16 | 2018-12-31 | No data | 1150 N 35TH AVE., SUITE 240, HOLLYWOOD, FL, 33021 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-05 | 1931 NW 150th Avenue, Suite 265, Pembroke Pines, FL 33028 | No data |
| CHANGE OF MAILING ADDRESS | 2024-03-05 | 1931 NW 150th Avenue, Suite 265, Pembroke Pines, FL 33028 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-05 | 1931 NW 150th Avenue, Suite 265, Pembroke Pines, FL 33028 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-05 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-03-04 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-06-28 |
| ANNUAL REPORT | 2019-04-27 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-04-13 |
| ANNUAL REPORT | 2016-02-01 |
| ANNUAL REPORT | 2015-04-30 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
