| Entity Name: | SHANTA A. PURUSHOTHAM, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 16 Oct 1995 (29 years ago) |
| Document Number: | P95000080136 |
| FEI/EIN Number | 593344914 |
| Address: | 711 HARVARD ST, BROOKSVILLE, FL, 34601 |
| Mail Address: | 711 HARVARD ST, BROOKSVILLE, FL, 34601 |
| ZIP code: | 34601 |
| County: | Hernando |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| PURUSHOTHAM SHANTA A | Agent | 711 HARVARD STREET, BROOKSVILLE, FL, 34601 |
| Name | Role | Address |
|---|---|---|
| PURUSHOTHAM SHANTA A | President | 711 HARVARD ST, BROOKSVILLE, FL, 34601 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2003-03-27 | 711 HARVARD ST, BROOKSVILLE, FL 34601 | No data |
| CHANGE OF MAILING ADDRESS | 2003-03-27 | 711 HARVARD ST, BROOKSVILLE, FL 34601 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2003-03-27 | 711 HARVARD STREET, BROOKSVILLE, FL 34601 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-23 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-04-26 |
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-04-21 |
| ANNUAL REPORT | 2016-04-09 |
| ANNUAL REPORT | 2015-02-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
