| Entity Name: | WEST TAMPA MEDICAL GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
WEST TAMPA MEDICAL GROUP, 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. |
| 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: | 03 Sep 2010 (15 years ago) |
| Document Number: | L10000092859 |
| FEI/EIN Number |
APPLIED FOR
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Mail Address: | 5901 WEBB ROAD, TAMPA, FL, 33615, US |
| Address: | 2601 N. Himes Ave, TAMPA, FL, 33607, US |
| ZIP code: | 33607 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144522988 | 2010-11-30 | 2024-09-20 | 5901 WEBB RD, TAMPA, FL, 336153219, US | 2601 N HIMES AVE, TAMPA, FL, 336072112, US | |||||||||||||||||||
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| Phone | +1 813-888-8215 |
| Fax | 8138855398 |
| Phone | +1 813-873-8071 |
| Fax | 8138774031 |
Authorized person
| Name | ANTONIO CALVO |
| Role | CHIEF OPERATIONS OFFICER |
| Phone | 8138888215 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| REVELLO PATRICIA | Managing Member | 5901 WEBB ROAD, TAMPA, FL, 33615 |
| REVELLO PATRICIA | Agent | 5901 WEBB ROAD, TAMPA, FL, 33615 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2016-04-18 | 2601 N. Himes Ave, TAMPA, FL 33607 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-11 |
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-01-25 |
| ANNUAL REPORT | 2022-02-15 |
| ANNUAL REPORT | 2021-02-15 |
| ANNUAL REPORT | 2020-02-13 |
| ANNUAL REPORT | 2019-01-31 |
| ANNUAL REPORT | 2018-03-29 |
| ANNUAL REPORT | 2017-02-20 |
| ANNUAL REPORT | 2016-04-18 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 3091297706 | 2020-05-01 | 0455 | PPP | 2601 N Himes Ave, TAMPA, FL, 33607 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 03 Apr 2025
Sources: Florida Department of State
