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ANAND MD, PA

Company Details

Entity Name: ANAND MD, PA
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 13 Jul 2022 (3 years ago)
Date of dissolution: 22 Sep 2023 (a year ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2023 (a year ago)
Document Number: P22000056291
Address: 509 SW 18TH CT, FT. LAUDERDALE, FL 33315
Mail Address: 509 SW 18TH CT, FT. LAUDERDALE, FL 33315
ZIP code: 33315
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1003544941 2022-08-09 2022-09-13 509 SW 18TH CT, FT LAUDERDALE, FL, 333152037, US 509 SW 18TH CT, FT LAUDERDALE, FL, 333152037, US

Contacts

Phone +1 585-754-3408

Authorized person

Name JORGE A GARCIA
Role CREDENTIALING
Phone 3056060337

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

Agent

Name Role Address
ANAND, GAUTAM Agent 509 SW 18TH CT, FT. LAUDERDALE, FL 33315

President

Name Role Address
ANAND, GAUTAM President 509 SW 18TH CT, FT. LAUDERDALE, FL 33315

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data

Documents

Name Date
Domestic Profit 2022-07-13

Date of last update: 11 Feb 2025

Sources: Florida Department of State