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  5. EXPRESS CARE OF TAMPA BAY LLC.

EXPRESS CARE OF TAMPA BAY LLC. - Florida Company Profile

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Company Details

Entity Name: EXPRESS CARE OF TAMPA BAY LLC.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 21 Jan 2004 (22 years ago)
Document Number: L04000006231
FEI/EIN Number 200656648
Address: 6015 REX HALL LANE, APOLLO BEACH, FL, 33572, US
Mail Address: 13318 WALDEN SHEFFIELD RD, DOVER, FL, 33527, US
ZIP code: 33572
City: Apollo Beach
County: Hillsborough
Place of Formation: FLORIDA

Key Officers & Management

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

National Provider Identifier

NPI Number:
1518011386
Link:
View on NPI website

Authorized Person:

Name:
MRS. ANGELA KAY GOMES
Role:
BILLING MANAGER
Phone:
8664204254

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
207RC0200X - Critical Care Medicine (Internal Medicine) Physician
Is Primary:
No
Selected Taxonomy:
207RC0200X - Critical Care Medicine (Internal Medicine) Physician
Is Primary:
No

Contacts:

Phone:
+1 813-651-4100
Fax:
8136514111

Events

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 -

Debts

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

Documents

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

USAspending Awards / Financial Assistance

Date:
2021-01-26
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
81455.00
Total Face Value Of Loan:
81455.00
Date:
2020-05-03
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
81453.00
Total Face Value Of Loan:
81453.00
Date:
2020-05-03
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
81453.00
Total Face Value Of Loan:
81453.00
Date:
2010-06-03
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO ASSIST SMALL BUSINESS CONCERNS BY PROVIDING LONG TERM FINANCING THROUGH THE SALE OF DEBENTURES TO THE PRIVATE SECTOR
Obligated Amount:
0.00
Face Value Of Loan:
277000.00
Total Face Value Of Loan:
277000.00

Paycheck Protection Program

Jobs Reported:
11
Initial Approval Amount:
$81,455
Date Approved:
2021-01-26
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$81,455
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$81,905.79
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $81,453
Utilities: $1
Jobs Reported:
12
Initial Approval Amount:
$81,453
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$81,453
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$82,120.25
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $81,453

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Date of last update: 01 Aug 2025

Sources: Florida Department of State

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