| Entity Name: | TAMPA SPEECH AND HEARING CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 08 Oct 1975 (49 years ago) |
| Document Number: | 487389 |
| FEI/EIN Number | 591645582 |
| Address: | 4714 N. ARMENIA AVE., SUIUTE 202, TAMPA, FL, 33603 |
| Mail Address: | 4714 N. ARMENIA AVE., SUIUTE 202, TAMPA, FL, 33603 |
| ZIP code: | 33603 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003928763 | 2006-08-31 | 2007-09-07 | 4714 N ARMENIA AVE, SUITE 202, TAMPA, FL, 336032603, US | 4714 N ARMENIA AVE, SUITE 202, TAMPA, FL, 336032603, US | |||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 813-870-3560 |
| Fax | 8138700334 |
Authorized person
| Name | MR. KENNETH BOOHER |
| Role | DIRECTOR/AUDIOLOGIST |
| Phone | 8138703560 |
Taxonomy
| Taxonomy Code | 231H00000X - Audiologist |
| License Number | AY193 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 231H00000X - Audiologist |
| License Number | AY394 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 231H00000X - Audiologist |
| License Number | AY832 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | DIANA HOLLAND |
| Number | AY832 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DOLGIN, SANFORD R. | Agent | 4714 N. ARMENIA AVE, TAMPA, FL, 33603 |
| Name | Role | Address |
|---|---|---|
| ALONOS WILLIAM A | Director | 4170 N HABANA AVE STE 404, TAMPA, FL, 33614 |
| DONNELLY KEVIN J | Director | 4714 N. ARMENIA AVE., 200, TAMPA, FL, 33603 |
| DAVIS DEAN G | Director | 4714 N. ARMENIA AVE., 200, TAMPA, FL, 33603 |
| VINCENT DANIEL J | Director | 4714 N. ARMENIA AVE, SUITE 200, TAMPA, FL, 33603 |
| Name | Role | Address |
|---|---|---|
| DOLGIN SANFORD R | President | 4714 N. ARMENIA AVE., 200, TAMPA, FL, 33603 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
