| Entity Name: | URGICARE TAMPA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 06 Oct 2010 (14 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | L10000104530 |
| FEI/EIN Number | 273638490 |
| Address: | 500 Vonderburg Dr, Brandon, FL, 33511, US |
| Mail Address: | 500 VONDERBURG DR, 203E, BRANDON, FL, 33511, US |
| ZIP code: | 33511 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609174358 | 2011-03-04 | 2011-05-10 | PO BOX 1666, BRANDON, FL, 335091666, US | 3345 S DALE MABRY HWY, TAMPA, FL, 336297817, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 813-831-7722 |
| Fax | 8133817766 |
Authorized person
| Name | MR. ZULF GOKAK |
| Role | MANAGER |
| Phone | 8133977566 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | 242580 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| NAGAMIA HUSAIN MD | Agent | 500 VONDERBURG DR, BRANDON, FL, 33511 |
| Name | Role | Address |
|---|---|---|
| NAGAMIA HUSAIN Dr. | Chief Executive Officer | 500 VONDERBURG DR, BRANDON, FL, 33511 |
| Name | Role | Address |
|---|---|---|
| Khan Wali Dr. | Chief Marketing Officer | 3345 S DALE MABRY HWY, TAMPA, FL, 33629 |
| Name | Role | Address |
|---|---|---|
| Fida Shaheen Dr. | Director | 3345 S DALE MABRY HWY, TAMPA, FL, 33629 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-04-28 | 500 Vonderburg Dr, Suite 203 E, Brandon, FL 33511 | No data |
| REGISTERED AGENT NAME CHANGED | 2013-04-15 | NAGAMIA, HUSAIN, MD | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-04-15 | 500 VONDERBURG DR, 203E, BRANDON, FL 33511 | No data |
| CHANGE OF MAILING ADDRESS | 2011-03-03 | 500 Vonderburg Dr, Suite 203 E, Brandon, FL 33511 | No data |
| LC AMENDMENT | 2010-11-01 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-04-28 |
| ANNUAL REPORT | 2015-04-30 |
| ANNUAL REPORT | 2014-03-12 |
| ANNUAL REPORT | 2013-04-15 |
| ANNUAL REPORT | 2012-03-30 |
| ANNUAL REPORT | 2011-03-03 |
| LC Amendment | 2010-11-01 |
| Florida Limited Liability | 2010-10-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
