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TAMPA BAY PEDIATRICS, L.L.C.

Company Details

Entity Name: TAMPA BAY PEDIATRICS, L.L.C.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 10 Jul 2006 (19 years ago)
Document Number: L06000068743
FEI/EIN Number 84-1714182
Address: 9420 lazy ln,, suite e-3, tampa, FL 33614
Mail Address: PO BOX 152682, TAMPA, FL 33684
ZIP code: 33614
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1083877047 2008-07-09 2023-03-07 PO BOX 152682, TAMPA, FL, 336842682, US 2302 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL, 336076406, US

Contacts

Phone +1 813-743-7879
Fax 8139265358

Authorized person

Name DR. CARLOS M CARTAYA
Role OWNER
Phone 8137437879

Taxonomy

Taxonomy Code 208000000X - Pediatrics Physician
License Number ME84690
State FL
Is Primary Yes

Other Provider Identifiers

Issuer AVMED
Number 284838
State FL
Issuer AETNA
Number 7189416
State FL
Issuer BCBS
Number 03286
State FL
Issuer CIGNA
Number 4137152
State FL

Agent

Name Role Address
CARTAYA, LARA Agent 3906 FLOYD RD., TAMPA, FL 33618

Manager

Name Role Address
CARTAYA, CARLOS MMD Manager 3906 FLOYD RD., TAMPA, FL 33618

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2016-06-17 9420 lazy ln,, suite e-3, tampa, FL 33614 No data
REGISTERED AGENT ADDRESS CHANGED 2010-03-29 3906 FLOYD RD., TAMPA, FL 33618 No data
CHANGE OF MAILING ADDRESS 2008-07-02 9420 lazy ln,, suite e-3, tampa, FL 33614 No data

Documents

Name Date
ANNUAL REPORT 2024-04-09
ANNUAL REPORT 2023-04-21
ANNUAL REPORT 2022-03-30
ANNUAL REPORT 2021-04-14
ANNUAL REPORT 2020-02-27
ANNUAL REPORT 2019-03-27
ANNUAL REPORT 2018-03-26
ANNUAL REPORT 2017-03-21
ANNUAL REPORT 2016-03-15
ANNUAL REPORT 2015-02-26

Date of last update: 27 Jan 2025

Sources: Florida Department of State