| Entity Name: | PHYSICIANS CARE CENTERS OF TAMPA BAY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 02 Apr 2012 (13 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | L12000044663 |
| FEI/EIN Number | 90-0818144 |
| Address: | 2123 W Dr. Martin Luther King Jr. Blvd, Suite 101, Tampa, FL 33607 |
| Mail Address: | 8750 NW 36TH STREET, SUITE 300, DORAL, FL 33178 |
| ZIP code: | 33607 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457618035 | 2012-04-19 | 2014-03-13 | 2123 W DR MARTIN LUTHER KING JR BLVD, SUITE 101, TAMPA, FL, 336076549, US | 2123 W DR MARTIN LUTHER KING JR BLVD, SUITE 101, TAMPA, FL, 336076549, US | |||||||||||||||
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| Phone | +1 813-872-6577 |
| Fax | 8139240967 |
Authorized person
| Name | MR. WILLIAM STEELE |
| Role | CEO |
| Phone | 5613850731 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LOAR, LACY | Agent | 8750 NW 36TH STREET, SUITE 300, DORAL, FL 33178 |
| Name | Role | Address |
|---|---|---|
| IGLESIAS, MANUEL | Authorized Member | 8750 NW 36TH STREET, SUITE 300 DORAL, FL 33178 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-12-19 | 8750 NW 36TH STREET, SUITE 300, DORAL, FL 33178 | No data |
| LC AMENDMENT AND NAME CHANGE | 2016-12-19 | PHYSICIANS CARE CENTERS OF TAMPA BAY, LLC | No data |
| REGISTERED AGENT NAME CHANGED | 2016-12-19 | LOAR, LACY | No data |
| LC AMENDMENT AND NAME CHANGE | 2016-10-03 | MID FLORIDA ADULT MEDICINE LLC | No data |
| CHANGE OF MAILING ADDRESS | 2016-10-03 | 2123 W Dr. Martin Luther King Jr. Blvd, Suite 101, Tampa, FL 33607 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-03-12 | 2123 W Dr. Martin Luther King Jr. Blvd, Suite 101, Tampa, FL 33607 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-04-27 |
| LC Amendment and Name Change | 2016-12-19 |
| LC Amendment and Name Change | 2016-10-03 |
| ANNUAL REPORT | 2016-03-02 |
| AMENDED ANNUAL REPORT | 2015-10-22 |
| ANNUAL REPORT | 2015-04-07 |
| ANNUAL REPORT | 2014-01-21 |
| ANNUAL REPORT | 2013-03-12 |
| Florida Limited Liability | 2012-04-02 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
