| Entity Name: | GARDENS OF TIME LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 05 Oct 2011 (13 years ago) |
| Document Number: | L11000114276 |
| FEI/EIN Number | 453551759 |
| Address: | 4603 N SAINT VINCENT ST, TAMPA, FL, 33614, US |
| Mail Address: | 4603 N SAINT VINCENT ST, TAMPA, FL, 33614, US |
| ZIP code: | 33614 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265855936 | 2014-01-30 | 2014-01-30 | 4603 N SAINT VINCENT ST, TAMPA, FL, 336146671, US | 4603 N SAINT VINCENT ST, TAMPA, FL, 336146671, US | |||||||||||||||||||||||||
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| Phone | +1 813-505-5564 |
| Fax | 8134430343 |
Authorized person
| Name | MARTHA JULIA MEDINA RODRIGUEZ |
| Role | MANAGER |
| Phone | 8135055564 |
Taxonomy
| Taxonomy Code | 261QA0600X - Adult Day Care Clinic/Center |
| License Number | AL 12263 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 006738700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MEDINA MARTHA | Agent | 4603 N SAINT VINCENT ST, TAMPA, FL, 33614 |
| Name | Role | Address |
|---|---|---|
| MEDINA MARTHA | President | 4603 N SAINT VINCENT ST, TAMPA, FL, 33614 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000116300 | MARTHA MEDINA CONSULTING AND TRAINING | EXPIRED | 2018-10-27 | 2023-12-31 | No data | 7016 N DAKOTA AVE, TAMPA, FL, 33614 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2015-03-21 | MEDINA , MARTHA | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-19 |
| ANNUAL REPORT | 2023-04-10 |
| ANNUAL REPORT | 2022-04-18 |
| ANNUAL REPORT | 2021-03-03 |
| ANNUAL REPORT | 2020-04-13 |
| ANNUAL REPORT | 2019-02-11 |
| ANNUAL REPORT | 2018-04-09 |
| AMENDED ANNUAL REPORT | 2017-01-20 |
| ANNUAL REPORT | 2017-01-13 |
| ANNUAL REPORT | 2016-03-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
