| Entity Name: | DAVID ESCHELBACHER MD PL |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 16 Oct 2008 (16 years ago) |
| Last Event: | LC ARTICLE OF CORRECTION |
| Event Date Filed: | 29 Oct 2008 (16 years ago) |
| Document Number: | L08000098070 |
| FEI/EIN Number | 263596711 |
| Address: | 2812 N 22nd St, TAMPA, FL, 33605, US |
| Mail Address: | 2812 N 22nd St, TAMPA, FL, 33605, US |
| ZIP code: | 33605 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992959589 | 2008-11-09 | 2018-04-26 | PO BOX 9155, TAMPA, FL, 336749155, US | 2812 N 22ND ST, TAMPA, FL, 336052762, US | |||||||||||||||||||||||||||
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| Phone | +1 813-957-2465 |
| Fax | 8133742495 |
| Phone | +1 813-374-2494 |
Authorized person
| Name | DAVID J. ESCHELBACHER |
| Role | OWNER/CEO |
| Phone | 8133742494 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME89859 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | RAILROAD MEDICARE |
| Number | DO6871 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Eschelbacher David J | Agent | 5005 W Dickens Ave, TAMPA, FL, 33629 |
| Name | Role | Address |
|---|---|---|
| Eschelbacher David J | Chief Executive Officer | 5005 W Dickens Ave, Tampa, FL, 33629 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-04-14 | 2812 N 22nd St, TAMPA, FL 33605 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-23 | 2812 N 22nd St, TAMPA, FL 33605 | No data |
| REGISTERED AGENT NAME CHANGED | 2013-01-12 | Eschelbacher, David J | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-01-12 | 5005 W Dickens Ave, TAMPA, FL 33629 | No data |
| LC ARTICLE OF CORRECTION | 2008-10-29 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J13001797357 | TERMINATED | 1000000555429 | HILLSBOROU | 2013-11-20 | 2023-12-26 | $ 530.70 | STATE OF FLORIDA0007675 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-14 |
| ANNUAL REPORT | 2023-04-11 |
| ANNUAL REPORT | 2022-01-29 |
| ANNUAL REPORT | 2021-09-17 |
| ANNUAL REPORT | 2020-04-30 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-23 |
| ANNUAL REPORT | 2017-06-03 |
| ANNUAL REPORT | 2016-03-30 |
| ANNUAL REPORT | 2015-03-26 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
