Entity Name: | MALLI KAMIREDDY, M.D., P.A. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 22 Jun 1998 (27 years ago) |
Date of dissolution: | 23 Sep 2011 (13 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 23 Sep 2011 (13 years ago) |
Document Number: | P98000055502 |
FEI/EIN Number | 223596622 |
Address: | 5162 LINTON BOULEVARD #106, DELRAY BEACH, FL, 33484 |
Mail Address: | 5162 LINTON BOULEVARD #106, DELRAY BEACH, FL, 33484 |
ZIP code: | 33484 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1518136662 | 2008-02-22 | 2008-02-25 | 5162 LINTON BLVD, SUITE 106, DELRAY BEACH, FL, 334846567, US | 5162 LINTON BLVD, SUITE 106, DELRAY BEACH, FL, 334846567, US | |||||||||||||||||||
|
Phone | +1 561-496-3484 |
Fax | 5614991643 |
Authorized person
Name | DR. MALLI KAMIREDDY |
Role | M.D. |
Phone | 5614963484 |
Taxonomy
Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
License Number | ME44270 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
KAMIREDDY MALLI M | Agent | 5162 LINTON BOULEVARD #106, DELRAY BEACH, FL, 33484 |
Name | Role | Address |
---|---|---|
KAMIREDDY MALLI M | Secretary | 5162 LINTON BOULEVARD #106, DELRAY BEACH, FL, 33484 |
Name | Role | Address |
---|---|---|
KAMIREDDY MALLI M | Treasurer | 5162 LINTON BOULEVARD #106, DELRAY BEACH, FL, 33484 |
Name | Role | Address |
---|---|---|
KAMIREDDY MALLI M | Director | 5162 LINTON BOULEVARD #106, DELRAY BEACH, FL, 33484 |
Name | Role | Address |
---|---|---|
KAMIREDDY MALLI M | President | 5162 LINTON BOULEVARD #106, DELRAY BEACH, FL, 33484 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
REINSTATEMENT | 2002-12-23 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2002-10-04 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2010-04-30 |
ANNUAL REPORT | 2009-04-08 |
ANNUAL REPORT | 2008-03-08 |
ANNUAL REPORT | 2007-04-30 |
ANNUAL REPORT | 2006-08-11 |
ANNUAL REPORT | 2005-09-23 |
ANNUAL REPORT | 2004-04-29 |
ANNUAL REPORT | 2003-02-06 |
REINSTATEMENT | 2002-12-23 |
ANNUAL REPORT | 2001-02-13 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State