| Entity Name: | ROBERT J. CASANAS, MD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 18 Apr 2006 (19 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | L06000039849 |
| FEI/EIN Number | 204709058 |
| Mail Address: | 9825 BAY ISLAND DRIVE, TAMPA, FL, 33615, US |
| Address: | 8431 W. LINEBAUGH AVE, TAMPA, FL, 33625, US |
| ZIP code: | 33625 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942373246 | 2006-11-16 | 2013-02-20 | 9825 BAY ISLAND DR, TAMPA, FL, 336154217, US | 9825 BAY ISLAND DR, TAMPA, FL, 336154217, US | |||||||||||||||||||||||||||||
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| Phone | +1 813-792-5730 |
| Fax | 8137925704 |
Authorized person
| Name | ROBERT J CASANAS |
| Role | INTERNAL MEDICINE PHYSICIAN |
| Phone | 8137925730 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME65487 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS OF FL |
| Number | 57946 |
| State | FL |
| Issuer | MEDICARE SUPPLIER |
| Number | E8754A |
| Name | Role | Address |
|---|---|---|
| GIOVINCO IAN S | Agent | 611 W. Bay Street, TAMPA, FL, 33606 |
| Name | Role | Address |
|---|---|---|
| CASANAS BEATA Trustee | Authorized Member | 9825 BAY ISLAND DRIVE, TAMPA, FL, 33615 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| LC AMENDMENT | 2020-06-25 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-15 | 611 W. Bay Street, 2B, TAMPA, FL 33606 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-04-01 | 8431 W. LINEBAUGH AVE, TAMPA, FL 33625 | No data |
| LC NAME CHANGE | 2007-10-29 | ROBERT J. CASANAS, MD, LLC | No data |
| LC NAME CHANGE | 2006-08-28 | ROBERT J. CASANAS, M.D., LC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-03-22 |
| LC Amendment | 2020-06-25 |
| ANNUAL REPORT | 2020-03-27 |
| ANNUAL REPORT | 2019-04-15 |
| ANNUAL REPORT | 2018-04-05 |
| ANNUAL REPORT | 2017-04-04 |
| ANNUAL REPORT | 2016-04-13 |
| ANNUAL REPORT | 2015-03-24 |
| ANNUAL REPORT | 2014-03-25 |
| ANNUAL REPORT | 2013-03-19 |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
