Entity Name: | JOSEPH P. LABARBERA, M.D., P.A. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 15 Oct 1983 (41 years ago) |
Document Number: | G65918 |
FEI/EIN Number | 592331556 |
Mail Address: | FL |
Address: | 4020 SUN CITY CNTR BLVD, SUITE 1, SUN CITY CENTER, FL, 33573 |
ZIP code: | 33573 |
County: | Hillsborough |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1174571459 | 2006-05-05 | 2022-07-21 | 4020 SUN CITY CENTER BLVD, SUITE #1, SUN CITY CENTER, FL, 335735285, US | 4020 SUN CITY CENTER BLVD, SUITE #1, SUN CITY CENTER, FL, 335735285, US | |||||||||||||||||||||||||||||||
|
Phone | +1 813-634-5502 |
Fax | 8136332702 |
Authorized person
Name | DR. JOSEPH P LABARBERA |
Role | PRESIDENT |
Phone | 8136345502 |
Taxonomy
Taxonomy Code | 207R00000X - Internal Medicine Physician |
License Number | MEME0034654 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | BC/BS OF FLORIDA |
Number | 95176 |
State | FL |
Issuer | CIGNA |
Number | 5251729 |
State | FL |
Name | Role |
---|---|
CFRA, LLC | Agent |
Name | Role | Address |
---|---|---|
LABARBERA, JOSEPH P | Director | 1001 SYMPHONY ISLES BLVD, APOLLO BEACH, FL, 33572 |
Name | Role | Address |
---|---|---|
LABARBERA, JOSEPH P | President | 1001 SYMPHONY ISLES BLVD, APOLLO BEACH, FL, 33572 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
Date of last update: 03 Jan 2025
Sources: Florida Department of State