| Entity Name: | VERIMED HEALTH GROUP SOUTH TAMPA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 24 May 2012 (13 years ago) |
| Document Number: | L12000070571 |
| FEI/EIN Number | 45-5358146 |
| Address: | 2919 SWANN AVE, SUITE 400A, TAMPA, FL 33609 |
| Mail Address: | 2919 SWANN AVE, SUITE 400A, TAMPA, FL 33609 |
| ZIP code: | 33609 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801140561 | 2012-11-02 | 2013-10-25 | 2919 W SWANN AVE STE 400A, TAMPA, FL, 336094082, US | 2919 W SWANN AVE STE 400A, TAMPA, FL, 336094082, US | |||||||||||||
|
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| Phone | +1 813-871-2959 |
Authorized person
| Name | GLADYMAR VRKIC |
| Role | ADMINISTRATOR |
| Phone | 8138712959 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| REVELLO, MARTIN | Agent | 26838 TANIC DRIVE, WESLEY CHAPEL, FL 33544 |
| Name | Role |
|---|---|
| REVELLO HOLDINGS, LLC | Authorized Member |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-03-13 | 2919 SWANN AVE, SUITE 400A, TAMPA, FL 33609 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-30 | 2919 SWANN AVE, SUITE 400A, TAMPA, FL 33609 | No data |
| REGISTERED AGENT NAME CHANGED | 2016-04-20 | REVELLO, MARTIN | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-04-20 | 26838 TANIC DRIVE, WESLEY CHAPEL, FL 33544 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-02-14 |
| ANNUAL REPORT | 2022-04-19 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-04-25 |
| ANNUAL REPORT | 2018-04-17 |
| ANNUAL REPORT | 2017-03-07 |
| ANNUAL REPORT | 2016-04-20 |
| ANNUAL REPORT | 2015-04-28 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
