| Entity Name: | TAMPA BAY SPEECH SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 25 May 2004 (21 years ago) |
| Date of dissolution: | 14 Aug 2014 (10 years ago) |
| Last Event: | CONVERSION |
| Event Date Filed: | 14 Aug 2014 (10 years ago) |
| Document Number: | L04000042628 |
| FEI/EIN Number | 510667148 |
| Address: | 4021 W. SAN LUIS ST., TAMPA, FL, 33629, US |
| Mail Address: | 4021 W. SAN LUIS ST., TAMPA, FL, 33629, US |
| ZIP code: | 33629 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386849867 | 2007-06-15 | 2008-06-30 | 4223 W SAN LUIS ST, TAMPA, FL, 336297717, US | 4223 W SAN LUIS ST, TAMPA, FL, 336297717, US | |||||||||||||||||||||||
|
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| Phone | +1 813-835-6085 |
Authorized person
| Name | MARIA ELENA PADILLA |
| Role | PRESIDENT |
| Phone | 8138356085 |
Taxonomy
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| License Number | SA5356 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 890791900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PADILLA GLORIA J | Agent | 4684 Neptune Dr. SE, ST. PETERSBURG, FL, 33705 |
| Name | Role | Address |
|---|---|---|
| PADILLA MARIA | Managing Member | 4021 W. SAN LUIS ST., TAMPA, FL, 33629 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CONVERSION | 2014-08-14 | No data | CONVERSION MEMBER. RESULTING CORPORATION WAS P14000067806. CONVERSION NUMBER 500000143025 |
| CHANGE OF PRINCIPAL ADDRESS | 2014-04-19 | 4021 W. SAN LUIS ST., TAMPA, FL 33629 | No data |
| CHANGE OF MAILING ADDRESS | 2014-04-19 | 4021 W. SAN LUIS ST., TAMPA, FL 33629 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-04-19 | 4684 Neptune Dr. SE, ST. PETERSBURG, FL 33705 | No data |
| REGISTERED AGENT NAME CHANGED | 2007-10-17 | PADILLA, GLORIA J | No data |
| REINSTATEMENT | 2007-10-17 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-04-19 |
| ANNUAL REPORT | 2013-01-29 |
| ANNUAL REPORT | 2012-02-07 |
| ANNUAL REPORT | 2011-03-04 |
| ANNUAL REPORT | 2010-02-11 |
| ANNUAL REPORT | 2009-04-30 |
| ANNUAL REPORT | 2008-03-26 |
| REINSTATEMENT | 2007-10-17 |
| ANNUAL REPORT | 2006-08-27 |
| ANNUAL REPORT | 2005-04-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
