| Entity Name: | EXPRESS CARE OF TAMPA BAY LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
EXPRESS CARE OF TAMPA BAY LLC. is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 21 Jan 2004 (21 years ago) |
| Document Number: | L04000006231 |
| FEI/EIN Number |
200656648
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 6015 REX HALL LANE, APOLLO BEACH, FL, 33572, US |
| Mail Address: | 13318 WALDEN SHEFFIELD RD, DOVER, FL, 33527, US |
| ZIP code: | 33572 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1518011386 | 2007-01-22 | 2020-08-22 | 6496 N US HIGHWAY 41, APOLLO BEACH, FL, 335721804, US | 107 W ROBERTSON ST, BRANDON, FL, 335115111, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 813-651-4100 |
| Fax | 8136514111 |
Authorized person
| Name | MRS. ANGELA KAY GOMES |
| Role | BILLING MANAGER |
| Phone | 8664204254 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME71027 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME79013 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207RC0200X - Critical Care Medicine (Internal Medicine) Physician |
| License Number | ME79013 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207RC0200X - Critical Care Medicine (Internal Medicine) Physician |
| License Number | ME71027 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | RR MCARE GROUP |
| Number | DB9962 |
| State | FL |
| Issuer | BCBS GROUP UC |
| Number | B903U |
| State | FL |
| Issuer | CITRUS GROUP UC |
| Number | 10560801 |
| State | FL |
| Issuer | MEDICAID |
| Number | MCAID ID # |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RAHMAN KHAWAJA A | Manager | 13318 WALDEN SHEFFIELD RD, DOVER, FL, 33527 |
| RAHMAN SAMIA | Manager | 13318 WALDEN SHEFFIELD RD, DOVER, FL, 33527 |
| RAHMAN KHAWAJA A | Agent | 13318 WALDEN SHEFFIELD RD, DOVER, FL, 33527 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-04-13 | 6015 REX HALL LANE, APOLLO BEACH, FL 33572 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-13 | 13318 WALDEN SHEFFIELD RD, DOVER, FL 33527 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2011-04-27 | 6015 REX HALL LANE, APOLLO BEACH, FL 33572 | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J13000152638 | TERMINATED | 1000000446558 | HILLSBOROU | 2013-01-02 | 2023-01-16 | $ 363.03 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 6302 E DR MARTIN LUTHER KING JR BLVD S, TAMPA FL336191166 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-13 |
| ANNUAL REPORT | 2022-03-11 |
| ANNUAL REPORT | 2021-04-13 |
| ANNUAL REPORT | 2020-03-07 |
| ANNUAL REPORT | 2019-04-04 |
| ANNUAL REPORT | 2018-04-29 |
| ANNUAL REPORT | 2017-04-04 |
| ANNUAL REPORT | 2016-03-01 |
| ANNUAL REPORT | 2015-02-22 |
| FAIN | Awarding Agency | Assistance Listings | Start Date | End Date | Description | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4121885002 | Small Business Administration | 59.041 - 504 CERTIFIED DEVELOPMENT LOANS | - | - | TO ASSIST SMALL BUSINESS CONCERNS BY PROVIDING LONG TERM FINANCING THROUGH THE SALE OF DEBENTURES TO THE PRIVATE SECTOR | |||||||||||||||||||
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| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6188388302 | 2021-01-26 | 0455 | PPS | 6015 Rex Hall Ln, Apollo Beach, FL, 33572-2657 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5342817701 | 2020-05-01 | 0455 | PPP | 6015 REX HALL LN, APOLLO BEACH, FL, 33572-2657 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Mar 2025
Sources: Florida Department of State
