| Entity Name: | TAMPA BAY PSYCHIATRIC SERVICES, PL |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 07 Dec 2009 (15 years ago) |
| Document Number: | L09000115967 |
| FEI/EIN Number | 271435145 |
| Address: | 3848 FLATIRON LOOP, SUITE 102, WESLEY CHAPEL, FL, 33544 |
| Mail Address: | 1767 LAKEWOOD RANCH BLVD, #255, BRADENTON, FL, 34211 |
| ZIP code: | 33544 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891150488 | 2015-12-23 | 2019-03-25 | 1767 LAKEWOOD RANCH BLVD, NO. 255, BRADENTON, FL, 342114906, US | 5664 MARQUESAS CIR, SARASOTA, FL, 342333331, US | |||||||||||||||||||||||||||
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| Phone | +1 941-527-0159 |
| Fax | 8134647682 |
Authorized person
| Name | MRS. JOANNA WANDA GLUSZAK |
| Role | PRACTICE MANAGER |
| Phone | 8136994020 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | ME104526 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 2084P0804X - Child & Adolescent Psychiatry Physician |
| License Number | ME104526 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| GLUSZAK BOGUSLAW M | Agent | 1767 LAKEWOOD RANCH BLVD, BRADENTON, FL, 34211 |
| Name | Role | Address |
|---|---|---|
| GLUSZAK BOGUSLAW M | Managing Member | 1767 LAKEWOOD RANCH BLVD, #255, BRADENTON, FL, 34211 |
| Name | Role | Address |
|---|---|---|
| GLUSZAK JOANNA W | Manager | 1767 LAKEWOOD RANCH BLVD, #255, BRADENTON, FL, 34211 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000102200 | TAMPA BAY TMS | ACTIVE | 2023-08-29 | 2028-12-31 | No data | 1767 LAKEWOOD RANCH BLVD., 255, BRADENTON, FL, 34211 |
| G22000094813 | SARASOTA TMS | ACTIVE | 2022-08-11 | 2027-12-31 | No data | 1767 LAKEWOOD RANCH BLVD # 255, BRADENTON, FL, 34211 |
| G19000036503 | TAMPA BAY PSYCHIATRIC SERVICES, PL | EXPIRED | 2019-03-19 | 2024-12-31 | No data | 1767 LAKEWOOD RANCH BLVD., NO. 255, BRADENTON, FL, 34211 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2012-01-31 | 3848 FLATIRON LOOP, SUITE 102, WESLEY CHAPEL, FL 33544 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-01-31 | 1767 LAKEWOOD RANCH BLVD, #255, BRADENTON, FL 34211 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-04-05 | 3848 FLATIRON LOOP, SUITE 102, WESLEY CHAPEL, FL 33544 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-14 |
| ANNUAL REPORT | 2023-04-03 |
| ANNUAL REPORT | 2022-07-14 |
| ANNUAL REPORT | 2021-07-27 |
| ANNUAL REPORT | 2020-03-13 |
| ANNUAL REPORT | 2019-03-14 |
| ANNUAL REPORT | 2018-04-04 |
| ANNUAL REPORT | 2017-03-17 |
| ANNUAL REPORT | 2016-03-08 |
| ANNUAL REPORT | 2015-02-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
