| Entity Name: | AUDIOLOGY ASSOCIATES OF TAMPA BAY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 17 Nov 2011 (13 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | L11000130974 |
| FEI/EIN Number | 46-1674146 |
| Address: | 4729 WINDFLOWER CIR, TAMPA, FL, 33624, US |
| Mail Address: | 4729 WINDFLOWER CIR, TAMPA, FL, 33624, US |
| ZIP code: | 33624 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558707448 | 2013-05-17 | 2013-05-17 | 3837 NORTHDALE BLVD, SUITE 367, TAMPA, FL, 336241841, US | 2901 W BUSCH BLVD, SUITE 916-E, TAMPA, FL, 336184523, US | |||||||||||||||||||||||
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| Phone | +1 813-293-0409 |
Authorized person
| Name | HEATHER RIIKONEN |
| Role | OWNER/AUDIOLOGIST |
| Phone | 8132930409 |
Taxonomy
| Taxonomy Code | 231H00000X - Audiologist |
| License Number | AY986 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 600349400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RIIKONEN HEATHER R | Agent | 4729 WINDFLOWER CIRCLE, TAMPA, FL, 33624 |
| Name | Role | Address |
|---|---|---|
| RIIKONEN HEATHER R | Managing Member | 4729 WINDFLOWER CIRCLE, TAMPA, FL, 33624 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-04-30 | 4729 WINDFLOWER CIR, TAMPA, FL 33624 | No data |
| CHANGE OF MAILING ADDRESS | 2014-04-30 | 4729 WINDFLOWER CIR, TAMPA, FL 33624 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-04-30 |
| ANNUAL REPORT | 2013-04-26 |
| Florida Limited Liability | 2011-11-17 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
