| Entity Name: | RAMAKRISHNA P. KANURI, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 08 Aug 1994 (31 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 13 Jun 2019 (6 years ago) |
| Document Number: | P94000058415 |
| FEI/EIN Number | 59-3258237 |
| Address: | 12190 CORTEZ BLVD, BROOKSVILLE, FL 34613 |
| Mail Address: | 12190 CORTEZ BLVD, BROOKSVILLE, FL 34613 |
| ZIP code: | 34613 |
| County: | Hernando |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124060587 | 2006-06-11 | 2008-04-10 | 12190 CORTEZ BLVD, BROOKSVILLE, FL, 346135578, US | 12190 CORTEZ BLVD, BROOKSVILLE, FL, 346135578, US | |||||||||||||||||||||
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| Phone | +1 352-597-1206 |
| Fax | 3525971208 |
Authorized person
| Name | DR. RAMAKRISHNA P KANURI |
| Role | PRESIDENT |
| Phone | 3525971208 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS GRP # |
| Number | 45467 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KANURI, RAMAKRISHNA P | Agent | 12190 CORTEZ BLVD, BROOKSVILLE, FL 34613 |
| Name | Role | Address |
|---|---|---|
| KANURI, RAMAKRISHNA P | Director | 12190 CORTEZ BLVD, BROOKSVILLE, FL 34613 |
| Name | Role | Address |
|---|---|---|
| KANURI, RAMAKRISHNA P | President | 12190 CORTEZ BLVD, BROOKSVILLE, FL 34613 |
| Name | Role | Address |
|---|---|---|
| KANURI, RAMAKRISHNA P | Secretary | 12190 CORTEZ BLVD, BROOKSVILLE, FL 34613 |
| Name | Role | Address |
|---|---|---|
| KANURI, RAMAKRISHNA P | Treasurer | 12190 CORTEZ BLVD, BROOKSVILLE, FL 34613 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000149168 | HERNANDO GASTROENTEROLOGY | ACTIVE | 2022-12-05 | 2027-12-31 | No data | 12190 CORTEZ BLVD, BROOKSVILLE, FL, 34613 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2019-06-13 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2000-11-27 | 12190 CORTEZ BLVD, BROOKSVILLE, FL 34613 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 1997-05-13 | 12190 CORTEZ BLVD, BROOKSVILLE, FL 34613 | No data |
| CHANGE OF MAILING ADDRESS | 1997-05-13 | 12190 CORTEZ BLVD, BROOKSVILLE, FL 34613 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-26 |
| ANNUAL REPORT | 2023-04-23 |
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-06-15 |
| Amendment | 2019-06-13 |
| ANNUAL REPORT | 2019-03-30 |
| ANNUAL REPORT | 2018-04-21 |
| ANNUAL REPORT | 2017-04-20 |
| ANNUAL REPORT | 2016-04-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
