| Entity Name: | KENNETH M. MATTOS, AP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 11 Jan 2010 (15 years ago) |
| Document Number: | L10000003295 |
| FEI/EIN Number | 271656131 |
| Address: | 8315 N Saulray St, Tampa, FL, 33604, US |
| Mail Address: | 8315 N Saulray St, Tampa, FL, 33604, US |
| ZIP code: | 33604 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740523901 | 2013-04-05 | 2022-07-21 | 4912 N ARMENIA AVE, TAMPA, FL, 336031402, US | 4912 N ARMENIA AVE, TAMPA, FL, 336031402, US | |||||||||||||||||||
|
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| Phone | +1 813-871-2950 |
| Fax | 8138715972 |
Authorized person
| Name | MR. KENNETH M MATTOS |
| Role | OWNER |
| Phone | 8138712950 |
Taxonomy
| Taxonomy Code | 171100000X - Acupuncturist |
| License Number | AP2738 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MATTOS KENNETH | Agent | 8315 N Saulray st, Tampa, FL, 33604 |
| Name | Role | Address |
|---|---|---|
| Mattos Kenneth | Chief Executive Officer | 8315 N saulray St, Tampa, FL, 33604 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000111204 | MATTOS MEDICAL GROUP | ACTIVE | 2022-09-07 | 2027-12-31 | No data | 8315 N SAULRAY ST, TAMPA, FL, 33604 |
| G10000003357 | MATTOS MEDICAL GROUP | EXPIRED | 2010-01-11 | 2015-12-31 | No data | 3203 W TAMPA BAY BLVD, TAMPA, FL, 33607 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-06-10 | 8315 N Saulray St, Tampa, FL 33604 | No data |
| CHANGE OF MAILING ADDRESS | 2020-06-10 | 8315 N Saulray St, Tampa, FL 33604 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-06-10 | 8315 N Saulray st, Tampa, FL 33604 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-10-30 |
| ANNUAL REPORT | 2024-04-25 |
| ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2022-09-07 |
| ANNUAL REPORT | 2021-04-06 |
| ANNUAL REPORT | 2020-06-10 |
| ANNUAL REPORT | 2019-04-22 |
| ANNUAL REPORT | 2018-04-11 |
| ANNUAL REPORT | 2017-01-11 |
| ANNUAL REPORT | 2016-04-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
