| Entity Name: | CITRUS NEPHROLOGY ASSOCIATES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 22 Dec 1995 (29 years ago) |
| Document Number: | P95000096713 |
| FEI/EIN Number | 59-3353460 |
| Address: | 7415 W GULF TO LAKE HWY, CRYSTAL RIVER, FL 34429 |
| Mail Address: | 7415 W GULF TO LAKE HWY, CRYSTAL RIVER, FL 34429 |
| ZIP code: | 34429 |
| County: | Citrus |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528116027 | 2007-01-08 | 2010-12-28 | 7415 W GULF TO LAKE HWY, CRYSTAL RIVER, FL, 344297834, US | 7415 W GULF TO LAKE HWY, CRYSTAL RIVER, FL, 344297834, US | |||||||||||||||||||||
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| Phone | +1 352-795-1415 |
| Fax | 3527956801 |
Authorized person
| Name | DR. PADMA V REDDY |
| Role | PRESIDENT |
| Phone | 3527951415 |
Taxonomy
| Taxonomy Code | 207RN0300X - Nephrology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 250407300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| REDDY, PADMA V, MD | Agent | 7415 W GULF TO LAKE HWY, CRYSTAL RIVER, FL 34429 |
| Name | Role | Address |
|---|---|---|
| REDDY, PADMA V | Director | 7415 W GULF TO LAKE HWY, CRYSTAL RIVER, FL 34429 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2025-01-31 | REDDY, PADMA V, MD | No data |
| CHANGE OF PRINCIPAL ADDRESS | 1997-06-03 | 7415 W GULF TO LAKE HWY, CRYSTAL RIVER, FL 34429 | No data |
| CHANGE OF MAILING ADDRESS | 1997-06-03 | 7415 W GULF TO LAKE HWY, CRYSTAL RIVER, FL 34429 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 1997-06-03 | 7415 W GULF TO LAKE HWY, CRYSTAL RIVER, FL 34429 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-31 |
| ANNUAL REPORT | 2024-04-14 |
| ANNUAL REPORT | 2023-04-15 |
| ANNUAL REPORT | 2022-04-12 |
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-04-01 |
| ANNUAL REPORT | 2019-04-18 |
| ANNUAL REPORT | 2018-04-21 |
| ANNUAL REPORT | 2017-04-29 |
| ANNUAL REPORT | 2016-03-04 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
