Entity Name: | WATERS MEDICAL CLINIC LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 08 Mar 2010 (15 years ago) |
Document Number: | L10000025538 |
FEI/EIN Number | 36-4770405 |
Address: | 11933 Wandsworth Drive, TAMPA, FL 33626 |
Mail Address: | 11933 WANDSWORTH DRIVE, TAMPA, FL 33626 |
ZIP code: | 33626 |
County: | Hillsborough |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1336467208 | 2010-05-17 | 2012-11-23 | PO BOX 261825, TAMPA, FL, 336851825, US | 4040 W WATERS AVE, SUITE 103, TAMPA, FL, 336141958, US | |||||||||||||||
|
Phone | +1 813-885-9091 |
Fax | 8138853527 |
Authorized person
Name | DR. THANHMY T NGUYEN |
Role | OPERATING MANAGER |
Phone | 8138859091 |
Taxonomy
Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
NGUYEN, THANHMY | Agent | 11933 WANDSWORTH DRIVE, TAMPA, FL 33626 |
Name | Role | Address |
---|---|---|
NGUYEN, THANHMY T | Manager | 11933 WANDSWORTH DRIVE, TAMPA, FL 33626 |
TRAN, TUAN A | Manager | 11933 WANDSWORTH DRIVE, TAMPA, FL 33626 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2024-09-12 | 11933 Wandsworth Drive, TAMPA, FL 33626 | No data |
REGISTERED AGENT NAME CHANGED | 2011-05-17 | NGUYEN, THANHMY | No data |
REGISTERED AGENT ADDRESS CHANGED | 2011-05-17 | 11933 WANDSWORTH DRIVE, TAMPA, FL 33626 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-03-10 |
ANNUAL REPORT | 2023-01-23 |
ANNUAL REPORT | 2022-01-31 |
ANNUAL REPORT | 2021-01-08 |
ANNUAL REPORT | 2020-01-31 |
ANNUAL REPORT | 2019-02-04 |
ANNUAL REPORT | 2018-01-10 |
ANNUAL REPORT | 2017-03-25 |
ANNUAL REPORT | 2016-01-22 |
ANNUAL REPORT | 2015-01-10 |
Date of last update: 25 Jan 2025
Sources: Florida Department of State