SVETA MEDICAL PLLC
Ambulatory Health at Dr Martin Luther King Jr Blvd, Tampa, FL

License number
Florida ME112476
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. DURGA P CHINTAKAYALA M.D.
Title: PHYSICIAN
Phone: (813) 324-7029
Address
Address
507 E Dr Martin Luther King Jr Blvd, Tampa, FL 33603
National Provider ID: 1629208509
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about SVETA MEDICAL PLLC at bizstanding.com

SVETA MEDICAL PLLC

Tampa, FL

Status:
Inactive
Inactive reason:
LC STMNT OF RA/RO CHG
Registration:
Jan 21, 2014
Inactive since:
Aug 28, 2014
Addresses:
17809 St Lucia Isle Dr, Tampa, FL 33647 (Physical)
18016 Lanai Isle Dr, Tampa, FL 33647
State ID:
L14000011028
Business type:
Florida Limited Liability Company
Managing Members:
Durga P Chintakayala (Managing Member), 17809 St Lucia Isle Dr, Tampa, FL 33647 (Physical),Lalitha Raguthu (Managing Member), 17809 St Lucia Isle Dr, Tampa, FL 33647 (Physical)
Agent:
Durga Chintakayala,17809 St Lucia Isle Dr, Tampa, FL 33647 (Physical)
EIN:
46-4982896

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