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SUDARSAN KAMISETTY MD PA - Florida Company Profile

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Company Details

Entity Name: SUDARSAN KAMISETTY MD PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 07 Jun 1999 (26 years ago)
Document Number: P99000052797
FEI/EIN Number 593579494
Address: 681 W LUMSDEN ROAD, BRANDON, FL, 33511, UN
Mail Address: 681 W LUMSDEN ROAD, BRANDON, FL, 33511
ZIP code: 33511
City: Brandon
County: Hillsborough
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
KAMISETTY SUDARSAN Secretary 681 W LUMSDEN ROAD, BRANDON, FL, 33511
KAMISETTY RAMADEVI Chief Operating Officer 681 W LUMSDEN ROAD, BRANDON, 33511
KAMISETTY SUDARSAN Agent 681 WEST LUMSDEN ROAD, BRANDON, FL, 33511
KAMISETTY SUDARSAN President 681 W LUMSDEN ROAD, BRANDON, FL, 33511
KAMISETTY SUDARSAN Treasurer 681 W LUMSDEN ROAD, BRANDON, FL, 33511

National Provider Identifier

NPI Number:
1629099163

Authorized Person:

Name:
DR. SUDARSAN R KAMISETTY
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
8136555617

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2012-03-15 681 W LUMSDEN ROAD, BRANDON, FL 33511 UN -
CHANGE OF MAILING ADDRESS 2005-05-01 681 W LUMSDEN ROAD, BRANDON, FL 33511 UN -
REGISTERED AGENT ADDRESS CHANGED 2005-05-01 681 WEST LUMSDEN ROAD, BRANDON, FL 33511 -

Documents

Name Date
ANNUAL REPORT 2025-01-18
ANNUAL REPORT 2024-01-18
ANNUAL REPORT 2023-02-05
ANNUAL REPORT 2022-01-30
ANNUAL REPORT 2021-01-28
ANNUAL REPORT 2020-02-03
ANNUAL REPORT 2019-02-09
ANNUAL REPORT 2018-01-18
ANNUAL REPORT 2017-02-20
ANNUAL REPORT 2016-01-28

USAspending Awards / Financial Assistance

Date:
2020-06-18
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
150000.00
Total Face Value Of Loan:
150000.00
Date:
2020-06-18
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
150000.00
Total Face Value Of Loan:
150000.00
Date:
2020-05-05
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
128751.00
Total Face Value Of Loan:
128751.00
Date:
2020-05-05
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
128751.00
Total Face Value Of Loan:
128751.00

Paycheck Protection Program

Jobs Reported:
11
Initial Approval Amount:
$128,751
Date Approved:
2020-05-05
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$128,751
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$129,932.69
Servicing Lender:
Wells Fargo Bank, National Association
Use of Proceeds:
Payroll: $128,751

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Date of last update: 02 Aug 2025

Sources: Florida Department of State