Search icon

WATERS MEDICAL CLINIC LLC - Florida Company Profile

Company Details

Entity Name: WATERS MEDICAL CLINIC LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

WATERS MEDICAL CLINIC LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 08 Mar 2010 (15 years ago)
Document Number: L10000025538
FEI/EIN Number 364770405

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 11933 Wandsworth Drive, TAMPA, FL, 33626, US
Mail Address: 11933 WANDSWORTH DRIVE, TAMPA, FL, 33626, US
ZIP code: 33626
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

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

Contacts

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

Key Officers & Management

Name Role Address
NGUYEN THANHMY T Manager 11933 WANDSWORTH DRIVE, TAMPA, FL, 33626
TRAN TUAN A Manager 11933 WANDSWORTH DRIVE, TAMPA, FL, 33626
NGUYEN THANHMY Agent 11933 WANDSWORTH DRIVE, TAMPA, FL, 33626

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-09-12 11933 Wandsworth Drive, TAMPA, FL 33626 -
REGISTERED AGENT NAME CHANGED 2011-05-17 NGUYEN, THANHMY -
REGISTERED AGENT ADDRESS CHANGED 2011-05-17 11933 WANDSWORTH DRIVE, TAMPA, FL 33626 -

Documents

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

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5971197109 2020-04-14 0455 PPP 8408 N. GRADY AVE, TAMPA, FL, 33614-1907
Loan Status Date 2021-08-10
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 50305
Loan Approval Amount (current) 50305
Undisbursed Amount 0
Franchise Name -
Lender Location ID 17715
Servicing Lender Name The Bank of Tampa
Servicing Lender Address 601 Bayshore Blvd, TAMPA, FL, 33606-2747
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address TAMPA, HILLSBOROUGH, FL, 33614-1907
Project Congressional District FL-14
Number of Employees 7
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 17715
Originating Lender Name The Bank of Tampa
Originating Lender Address TAMPA, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 50923.82
Forgiveness Paid Date 2021-07-19

Date of last update: 03 Apr 2025

Sources: Florida Department of State