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WATERS MEDICAL CLINIC LLC

Company Details

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

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

Agent

Name Role Address
NGUYEN, THANHMY Agent 11933 WANDSWORTH DRIVE, TAMPA, FL 33626

Manager

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

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

Date of last update: 25 Jan 2025

Sources: Florida Department of State