| Entity Name: | BICH-NGOC T. PHAM, MD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
BICH-NGOC T. PHAM, MD, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 13 Jun 2008 (17 years ago) |
| Document Number: | L08000058551 |
| FEI/EIN Number |
262806556
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 11011 COUNTRYWAY BLVD., TAMPA, FL, 33626 |
| Mail Address: | 11011 COUNTRYWAY BLVD., TAMPA, FL, 33626 |
| ZIP code: | 33626 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497917082 | 2008-06-26 | 2014-05-07 | 11011 COUNTRYWAY BLVD, TAMPA, FL, 336262628, US | 11011 COUNTRYWAY BLVD, TAMPA, FL, 336262628, US | |||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||
| Phone | +1 813-749-0844 |
| Fax | 8137490846 |
Authorized person
| Name | DR. BICH-NGOC THI PHAM |
| Role | PHYSICIAN |
| Phone | 8137490844 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | 101516 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME101516 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PHAM BICH-NGOC T | Managing Member | 11011 COUNTRYWAY BLVD., TAMPA, FL, 33626 |
| PHAM TOAN M | Agent | 12201 MARBLEHEAD DR., TAMPA, FL, 33626 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000034806 | PROACTIVE PRIMARY CARE | ACTIVE | 2020-03-23 | 2025-12-31 | - | 11041 COUNTRYWAY BLVD., TAMPA, FL, 33626 |
| G16000019793 | TRE MEDSPA | EXPIRED | 2016-02-24 | 2021-12-31 | - | 11013 COUNTRYWAY BLVD, TAMPA, FL, 33626 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2012-01-04 | 11011 COUNTRYWAY BLVD., TAMPA, FL 33626 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2011-01-07 | 11011 COUNTRYWAY BLVD., TAMPA, FL 33626 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2010-01-05 | 12201 MARBLEHEAD DR., TAMPA, FL 33626 | - |
| REGISTERED AGENT NAME CHANGED | 2009-04-20 | PHAM, TOAN MMR. | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-03 |
| ANNUAL REPORT | 2024-01-30 |
| ANNUAL REPORT | 2023-01-21 |
| ANNUAL REPORT | 2022-02-01 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-02-06 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-01-26 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5978887706 | 2020-05-01 | 0455 | PPP | 11041 COUNTRYWAY BLVD, TAMPA, FL, 33626-2628 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Date of last update: 01 Apr 2025
Sources: Florida Department of State
