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DOCTORS MEDICAL CLINICS OF TAMPA, LLC

Company Details

Entity Name: DOCTORS MEDICAL CLINICS OF TAMPA, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 13 Jan 2010 (15 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 23 Jun 2014 (11 years ago)
Document Number: L10000004766
FEI/EIN Number 271664247
Address: 10770 N. 46th Street, Unit B-300, TAMPA, FL, 33617, US
Mail Address: 10770 N. 46th Street, Unit B-300, TAMPA, FL, 33617, US
ZIP code: 33617
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1528364882 2011-02-03 2018-05-02 10770 N 46TH ST STE B300, TAMPA, FL, 336173488, US 10770 N 46TH ST STE B300, TAMPA, FL, 336173488, US

Contacts

Phone +1 813-988-8380
Fax 8139888423

Authorized person

Name MR. WISDOM K DARKO
Role MANAGER/OWNER
Phone 8139888380

Taxonomy

Taxonomy Code 261Q00000X - Clinic/Center
License Number HCC8997
State FL
Is Primary No
Taxonomy Code 261QP3300X - Pain Clinic/Center
License Number PMC1035
State FL
Is Primary Yes
Taxonomy Code 302R00000X - Health Maintenance Organization
License Number HCC8997
State FL
Is Primary No

Other Provider Identifiers

Issuer AHCA
Number HCC8997
State FL
Issuer MEDICARE
Number EZ293A
State FL

Agent

Name Role Address
DARKO WISDOM K Agent 11023 Ancient Futures Dr, TAMPA, FL, 33647

Managing Member

Name Role Address
DARKO WISDOM K Managing Member 11023 ANCIENT FUTURE DR, TAMPA, FL, 33647

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000128635 DOCMED SUPPLY & SERVICES ACTIVE 2024-10-18 2029-12-31 No data 10770 N. 46TH ST, SUITE B-300, TAMPA, FL, 33617
G22000011060 DOCMED SUPPLY & SERVICES ACTIVE 2022-01-26 2027-12-31 No data 10770 N 46TH ST., SUITE B-300, TAMPA, FL, 33617
G18000030609 DOCMED SUPPLY & SERVICES EXPIRED 2018-03-05 2023-12-31 No data 10770 N 46TH STR, SUITE B-300, TAMPA, FL, 33617
G12000003507 DOCMED SUPPLY & SERVICES EXPIRED 2012-01-10 2017-12-31 No data 4941 EAST BUSCH BLVD, SUITE # 210, TAMPA, FL, 3361-7

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-03-01 10770 N. 46th Street, Unit B-300, TAMPA, FL 33617 No data
CHANGE OF PRINCIPAL ADDRESS 2016-01-04 10770 N. 46th Street, Unit B-300, TAMPA, FL 33617 No data
REGISTERED AGENT ADDRESS CHANGED 2016-01-04 11023 Ancient Futures Dr, TAMPA, FL 33647 No data
LC AMENDMENT 2014-06-23 No data No data
LC AMENDMENT 2012-08-22 No data No data

Documents

Name Date
ANNUAL REPORT 2024-03-01
ANNUAL REPORT 2023-02-20
ANNUAL REPORT 2022-03-18
ANNUAL REPORT 2021-02-05
ANNUAL REPORT 2020-02-25
ANNUAL REPORT 2019-03-05
ANNUAL REPORT 2018-03-05
ANNUAL REPORT 2017-03-24
ANNUAL REPORT 2016-01-04
ANNUAL REPORT 2015-04-22

Date of last update: 02 Jan 2025

Sources: Florida Department of State