| Entity Name: | ST. PETE ENT, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 02 May 2006 (19 years ago) |
| Document Number: | L06000049253 |
| FEI/EIN Number | 204887855 |
| Address: | 2299 9TH AVENUE NORTH, SUITE 3-B, ST PETERSBURG, FL, 33713 |
| Mail Address: | 2299 9TH AVENUE NORTH, SUITE 3-B, ST PETERSBURG, FL, 33713 |
| ZIP code: | 33713 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023198355 | 2006-10-17 | 2013-03-14 | 2299 9TH AVE N, SUITE 3B, ST PETERSBURG, FL, 337136800, US | 2299 9TH AVE N, SUITE 3B, ST PETERSBURG, FL, 337136800, US | |||||||||||||||||||||||||
|
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| Phone | +1 727-321-3344 |
| Fax | 7273213236 |
Authorized person
| Name | PATRICIA A GILROY |
| Role | OWNER |
| Phone | 7273213344 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME90004 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 269742400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BURKE KATHY | Agent | 2299 9TH AVENUE NORTH, ST PETERSBURG, FL, 33713 |
| Name | Role | Address |
|---|---|---|
| GILROY PATRICIA A | Managing Member | 2299 9TH AVENE NORTH, ST.PETERSBURG, FL, 33713 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2011-02-25 | BURKE, KATHY | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-03-30 | 2299 9TH AVENUE NORTH, SUITE 3-B, ST PETERSBURG, FL 33713 | No data |
| CHANGE OF MAILING ADDRESS | 2009-03-30 | 2299 9TH AVENUE NORTH, SUITE 3-B, ST PETERSBURG, FL 33713 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-03-30 | 2299 9TH AVENUE NORTH, SUITE 3-B, ST PETERSBURG, FL 33713 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-07 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-02-01 |
| ANNUAL REPORT | 2021-03-16 |
| ANNUAL REPORT | 2020-03-19 |
| ANNUAL REPORT | 2019-02-27 |
| ANNUAL REPORT | 2018-05-23 |
| ANNUAL REPORT | 2017-02-13 |
| ANNUAL REPORT | 2016-02-22 |
| ANNUAL REPORT | 2015-06-13 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
