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CITRUS HOSPITALISTS PA

Company Details

Entity Name: CITRUS HOSPITALISTS PA
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 27 Jan 2023 (2 years ago)
Date of dissolution: 29 Feb 2024 (a year ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 29 Feb 2024 (a year ago)
Document Number: P23000008582
Address: 3600 N GRAYHAWK LOOP, LECANTO, FL 34461
Mail Address: 3600 N GRAYHAWK LOOP, LECANTO, FL 34461
ZIP code: 34461
County: Citrus
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1861195620 2023-03-22 2023-03-22 3600 N GRAYHAWK LOOP, LECANTO, FL, 344618468, US 6201 N SUNCOAST BLVD, CRYSTAL RIVER, FL, 344286712, US

Contacts

Phone +1 732-335-6512
Fax 7323058026

Authorized person

Name MR. CHAKRADHAR DESARAJU
Role OWNER
Phone 3526012375

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary No
Taxonomy Code 208M00000X - Hospitalist Physician
Is Primary Yes

Agent

Name Role Address
KOMPELLA, RAMA RAO Agent 3600 N GRAYHAWK LOOP, LECANTO, FL 34461

Vice President

Name Role Address
KOMPELLA, RAMA RAO Vice President 3600 N GRAYHAWK LOOP, LECANTO, FL 34461

President

Name Role Address
DESARAJU, CHAKRADHAR President 3627 N GRAYHAWK LOOP, LECANTO, FL 34461

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2024-02-29 No data No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2024-02-29
Domestic Profit 2023-01-27

Date of last update: 10 Jan 2025

Sources: Florida Department of State