| Entity Name: | T.B.C. VENTURES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 26 Feb 2007 (18 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 01 Oct 2014 (10 years ago) |
| Document Number: | L07000021756 |
| FEI/EIN Number | 770671824 |
| Address: | 1501 N Belcher Rd, Clearwater, FL, 33765, US |
| Mail Address: | 493 Lakeside Pl, Largo, FL, 33771, US |
| ZIP code: | 33765 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386179158 | 2017-04-28 | 2019-12-20 | 493 LAKESIDE PL, LARGO, FL, 337711429, US | 1501 N BELCHER RD STE 166, CLEARWATER, FL, 337651339, US | |||||||||||||||||||||||||
|
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| Phone | +1 727-251-8903 |
| Fax | 7272166999 |
Authorized person
| Name | MR. MICHAEL CORNISH |
| Role | MANAGER |
| Phone | 7272518903 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT19198 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 014745200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CORNISH MICHAEL F | Agent | 493 Lakeside Pl, Largo, FL, 33771 |
| Name | Role | Address |
|---|---|---|
| Cornish Michael F | Manager | 493 Lakeside Pl, Largo, FL, 33771 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-26 | 1501 N Belcher Rd, Suite 165 & 166, Clearwater, FL 33765 | No data |
| CHANGE OF MAILING ADDRESS | 2020-01-16 | 1501 N Belcher Rd, Suite 165 & 166, Clearwater, FL 33765 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-01-16 | 493 Lakeside Pl, Largo, FL 33771 | No data |
| REINSTATEMENT | 2014-10-01 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2009-01-29 | CORNISH, MICHAEL F | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-13 |
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-01-27 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-01-10 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-01-29 |
| ANNUAL REPORT | 2018-01-20 |
| ANNUAL REPORT | 2017-02-19 |
| ANNUAL REPORT | 2016-01-05 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
