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MALLI KAMIREDDY, M.D., P.A.

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
KAMIREDDY MALLI M Agent 5162 LINTON BOULEVARD #106, DELRAY BEACH, FL, 33484

Secretary

Name Role Address
KAMIREDDY MALLI M Secretary 5162 LINTON BOULEVARD #106, DELRAY BEACH, FL, 33484

Treasurer

Name Role Address
KAMIREDDY MALLI M Treasurer 5162 LINTON BOULEVARD #106, DELRAY BEACH, FL, 33484

Director

Name Role Address
KAMIREDDY MALLI M Director 5162 LINTON BOULEVARD #106, DELRAY BEACH, FL, 33484

President

Name Role Address
KAMIREDDY MALLI M President 5162 LINTON BOULEVARD #106, DELRAY BEACH, FL, 33484

Events

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

Documents

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