| Entity Name: | BAYSHORE MEDICAL GROUP, P.L. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 07 Jul 2008 (17 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 07 Feb 2019 (6 years ago) |
| Document Number: | L08000065232 |
| FEI/EIN Number | 262953904 |
| Address: | 19447 TAMIAMI AVENUE, TAMPA, FL, 33647 |
| Mail Address: | BAYSHORE MEDICAL GROUP P.O.BOX48165, TAMPA, FL, 33646 |
| ZIP code: | 33647 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215192372 | 2008-07-28 | 2008-07-28 | 19947 TAMIAMI AVE, TAMPA, FL, 336473366, US | 19947 TAMIAMI AVE, TAMPA, FL, 336473366, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 813-716-6959 |
Authorized person
| Name | YASHITALA AGZEW |
| Role | MEMBER |
| Phone | 8137166959 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LASMAN JEFFREY M | Agent | C/O LASMAN LAW FIRM, P.A., RIVERVIEW, FL, 33569 |
| Name | Role | Address |
|---|---|---|
| AGZEW YESHITLA | Managing Member | BAYSHORE MEDICAL GROUP P.O.BOX48165, TAMPA, FL, 33646 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2019-02-07 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-02-07 | LASMAN, JEFFREY MESQ. | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2010-02-11 | 19447 TAMIAMI AVENUE, TAMPA, FL 33647 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J20000215620 | ACTIVE | COWE20011396 | 17TH CIRCUIT, BROWARD COUNTY | 2019-11-15 | 2025-05-20 | $6113.42 | MEDTOUCH A DIVISION OF NEXTGEN HEALTHCARE INFORMATION S, 18111 VON KARMAN AVE, 800, IRVINE, CA, 92612 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-07-04 |
| ANNUAL REPORT | 2022-02-24 |
| ANNUAL REPORT | 2021-02-18 |
| ANNUAL REPORT | 2020-05-08 |
| REINSTATEMENT | 2019-02-07 |
| ANNUAL REPORT | 2017-04-13 |
| ANNUAL REPORT | 2016-04-22 |
| ANNUAL REPORT | 2015-04-14 |
| ANNUAL REPORT | 2014-02-12 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
