| Entity Name: | MEDICAL ASSOCIATES OF TAMPA BAY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 28 Mar 2011 (14 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L11000036661 |
| FEI/EIN Number | 611651537 |
| Address: | 7641 Nottinghill Sky Drive, APOLLO BEACH, FL, 33572, US |
| Mail Address: | 7641 Nottinghill Sky Drive, APOLLO BEACH, FL, 33572, US |
| ZIP code: | 33572 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811259237 | 2012-06-12 | 2012-06-12 | 6150 N US HIGHWAY 41, APOLLO BEACH, FL, 335721806, US | 6150 N US HIGHWAY 41, APOLLO BEACH, FL, 335721806, US | |||||||||||||||||||||||
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| Phone | +1 813-641-0007 |
Authorized person
| Name | DR. SASHA NOE |
| Role | OWNER |
| Phone | 8136410007 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | OS11031 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1639308992 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| NOE SASHA NDO,PhD | Agent | 7641 Nottinghill Sky Drive, APOLLO BEACH, FL, 33572 |
| Name | Role | Address |
|---|---|---|
| NOE SASHA NDO, PhD | Manager | 7641 Nottinghill Sky Drive, APOLLO BEACH, FL, 33572 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000061377 | APOLLO BEACH FAMILY MEDICAL CENTER | EXPIRED | 2012-06-19 | 2017-12-31 | No data | 6150 N US HIGHWAY 41, APOLLO BEACH, FL, FL |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-15 | 7641 Nottinghill Sky Drive, APOLLO BEACH, FL 33572 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-15 | 7641 Nottinghill Sky Drive, APOLLO BEACH, FL 33572 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-15 | 7641 Nottinghill Sky Drive, APOLLO BEACH, FL 33572 | No data |
| REGISTERED AGENT NAME CHANGED | 2013-04-23 | NOE, SASHA N, DO,PhD | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-04-15 |
| ANNUAL REPORT | 2021-04-14 |
| ANNUAL REPORT | 2020-02-28 |
| ANNUAL REPORT | 2019-03-19 |
| ANNUAL REPORT | 2018-03-07 |
| ANNUAL REPORT | 2017-03-11 |
| ANNUAL REPORT | 2016-02-12 |
| ANNUAL REPORT | 2015-03-27 |
| ANNUAL REPORT | 2014-04-21 |
| ANNUAL REPORT | 2013-04-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
