| Entity Name: | WEST COAST MEDICINE OF TAMPA BAY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 26 Aug 2010 (14 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | L10000089871 |
| FEI/EIN Number | 273311740 |
| Address: | 2650 TAMPA RD, PALM HARBOR, FL, 34684, US |
| Mail Address: | P.O. BOX 1619, LARGO, FL, 33779-1619, US |
| ZIP code: | 34684 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568656429 | 2007-09-04 | 2012-02-08 | PO BOX 1619, LARGO, FL, 337791619, US | 1155 S DALE MABRY HWY, #19, TAMPA, FL, 336295035, US | |||||||||||||||||
|
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| Phone | +1 727-458-3011 |
Authorized person
| Name | DR. MARK GEORGE KANTZLER |
| Role | OWNER |
| Phone | 7274583011 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | OS5165 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KANTZLER MARK G | Agent | 2650 TAMPA RD, PALM HARBOR, FL, 34684 |
| Name | Role | Address |
|---|---|---|
| KANTZLER DO MARK G | Manager | BOX 1619, LARGO, FL, 337791619 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-03-19 | KANTZLER , MARK G | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-04-24 | 2650 TAMPA RD, C, PALM HARBOR, FL 34684 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-04-24 | 2650 TAMPA RD, C, PALM HARBOR, FL 34684 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-03-19 |
| ANNUAL REPORT | 2014-05-01 |
| ANNUAL REPORT | 2013-04-24 |
| ANNUAL REPORT | 2012-04-28 |
| ANNUAL REPORT | 2011-08-31 |
| Florida Limited Liability | 2010-08-26 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
