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INDI VASUDEVA NEPHROLOGY, INC - Florida Company Profile

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Company Details

Entity Name: INDI VASUDEVA NEPHROLOGY, INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 01 Nov 2021 (4 years ago)
Document Number: P21000094083
FEI/EIN Number 87-3464999
Address: 4218 W. LINEBAUGH AVE, TAMPA, FL, 33624, US
Mail Address: 20004 Wellington Manor Blvd, Lutz, FL, 33549, US
ZIP code: 33624
City: Tampa
County: Hillsborough
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
VASUDEVA INDI P President 4218 W. LINEBAUGH AVE, TAMPA, FL, 33624
VASUDEVA INDI P Agent 4218 W. LINEBAUGH AVE, TAMPA,, FL, 33624

National Provider Identifier

NPI Number:
1538828918
Certification Date:
2021-12-13

Authorized Person:

Name:
DR. INDI VASUDEVA
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207RN0300X - Nephrology Physician
Is Primary:
Yes

Contacts:

Fax:
7277813312
Fax:
8132697575

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2023-01-30 4218 W. LINEBAUGH AVE, TAMPA, FL 33624 -

Documents

Name Date
ANNUAL REPORT 2025-02-08
ANNUAL REPORT 2024-03-20
ANNUAL REPORT 2023-01-30
ANNUAL REPORT 2022-03-14
Domestic Profit 2021-11-01

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Date of last update: 01 Aug 2025

Sources: Florida Department of State