| Entity Name: | ERIC TRIDAS, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 08 Jul 1986 (39 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | J22838 |
| FEI/EIN Number | 59-2701209 |
| Address: | 4144 N. ARMENIA AVE., SUITE 375, TAMPA, FL 33607 |
| Mail Address: | 1126 MONTEREY BLVD., N.E., ST. PETERSBURG, FL 33704 |
| ZIP code: | 33607 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326215914 | 2008-05-13 | 2008-07-13 | 4144 N ARMENIA AVE, SUITE 375, TAMPA, FL, 336076400, US | 4144 N ARMENIA AVE, SUITE 375, TAMPA, FL, 336076400, US | |||||||||||||||||||||
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| Phone | +1 813-876-8316 |
| Fax | 8138754011 |
Authorized person
| Name | DR. ERIC Q. TRIDAS |
| Role | DIRECTOR |
| Phone | 8138768316 |
Taxonomy
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 270198700 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ERIC TRIDAS, MD, PA 401K PROFIT SHARING PLAN | 2017 | 592701209 | 2018-10-24 | ERIC TRIDAS, M.D., P.A. | 7 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2018-10-24 |
| Name of individual signing | ERIC TRIDAS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| TRIDAS, ERIC | Agent | 1126 MONTEREY BLVD., N.E., ST. PETERSBURG, FL 33704 |
| Name | Role | Address |
|---|---|---|
| TRIDAS, ERIC | DR. | 1126 MONTEREY BLVD., N.E., ST. PETERSBURG, FL 33704 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 1994-05-24 | 4144 N. ARMENIA AVE., SUITE 375, TAMPA, FL 33607 | No data |
| CHANGE OF MAILING ADDRESS | 1994-05-24 | 4144 N. ARMENIA AVE., SUITE 375, TAMPA, FL 33607 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 1994-05-24 | 1126 MONTEREY BLVD., N.E., ST. PETERSBURG, FL 33704 | No data |
| REGISTERED AGENT NAME CHANGED | 1988-07-07 | TRIDAS, ERIC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-04-19 |
| ANNUAL REPORT | 2017-02-20 |
| ANNUAL REPORT | 2016-04-12 |
| ANNUAL REPORT | 2015-04-22 |
| ANNUAL REPORT | 2014-03-31 |
| ANNUAL REPORT | 2013-04-10 |
| ANNUAL REPORT | 2012-04-10 |
| ANNUAL REPORT | 2011-03-03 |
| ANNUAL REPORT | 2010-04-20 |
| ANNUAL REPORT | 2009-02-24 |
Date of last update: 04 Feb 2025
Sources: Florida Department of State
