| Entity Name: | WEST WATERS MEDICAL CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 24 Feb 2009 (16 years ago) |
| Date of dissolution: | 23 Aug 2010 (14 years ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 23 Aug 2010 (14 years ago) |
| Document Number: | L09000018029 |
| FEI/EIN Number | 26-4313396 |
| Address: | 3550 W. WATERS AVE., 108, TAMPA, FL 33614 |
| Mail Address: | 3550 W. WATERS AVE., 108, TAMPA, FL 33614 |
| ZIP code: | 33614 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447492830 | 2009-03-31 | 2009-03-31 | 3550 W WATERS AVE, SUITE 108, TAMPA, FL, 336142716, US | 3550 W WATERS AVE, SUITE 108, TAMPA, FL, 336142716, US | |||||||||||||||||||
|
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| Phone | +1 813-734-9218 |
| Fax | 8133749221 |
Authorized person
| Name | MR. ROBERTO PORTAL |
| Role | MANAGER |
| Phone | 8137349218 |
Taxonomy
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| License Number | HCC7342 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ACOSTA, EMMANUEL G | Agent | 3550 W. WATERS AVE., 108, TAMPA,, FL 33614 |
| Name | Role | Address |
|---|---|---|
| ACOSTA, EMMANUEL G | Managing Member | 3550 W. WATERS AVE., SUITE 108, TAMPA, FL 33614 |
| ROBERTO, PORTAL | Managing Member | 3550 W. WATERS AVE., SUITE 108, TAMPA, FL 33614 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2010-08-23 | No data | No data |
| Name | Date |
|---|---|
| LC Voluntary Dissolution | 2010-08-23 |
| ANNUAL REPORT | 2010-04-20 |
| Florida Limited Liability | 2009-02-24 |
Date of last update: 26 Jan 2025
Sources: Florida Department of State
