| Entity Name: | DALEY AND ASSOCIATES PRIMEMED OF TAMPA BAY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
DALEY AND ASSOCIATES PRIMEMED OF TAMPA BAY, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 01 May 2013 (12 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 06 Oct 2018 (7 years ago) |
| Document Number: | L13000064087 |
| FEI/EIN Number |
46-1728828
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 300 RIVERSIDE DRIVE, BRADENTON, FL, 34208, US |
| Mail Address: | 300 Riverside Dr, Bradenton, FL, 34208, US |
| ZIP code: | 34208 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962843029 | 2013-07-17 | 2013-07-17 | 300 RIVERSIDE DR E, STE 2600, BRADENTON, FL, 342081008, US | 300 RIVERSIDE DR E, STE 2600, BRADENTON, FL, 342081008, US | |||||||||||||||||||||||||
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| Phone | +1 941-251-4933 |
| Fax | 9412514934 |
Authorized person
| Name | JOSIE A. WALTERS |
| Role | MPM SPECIALIST |
| Phone | 3022332532 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME92581 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 273870800 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DALEY AND ASSOCIATES PRIMEMED OF TAMPA BAY 401(K) PLAN | 2023 | 461728828 | 2024-10-02 | DALEY AND ASSOCIATES PRIMEMED OF TAMPA BAY, LLC | 4 | |||||||||||||
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| Name | Role | Address |
|---|---|---|
| DALEY ANDREW C | Managing Member | 300 Riverside Dr, Bradenton, FL, 34208 |
| DALEY ANDREW C | Agent | 300 Riverside Dr, Bradenton, FL, 34208 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2018-10-06 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | - | - |
| CHANGE OF MAILING ADDRESS | 2017-04-28 | 300 RIVERSIDE DRIVE, SUITE 1000, BRADENTON, FL 34208 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2017-04-28 | 300 Riverside Dr, 1000, Bradenton, FL 34208 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2016-07-25 | 300 RIVERSIDE DRIVE, SUITE 1000, BRADENTON, FL 34208 | - |
| REGISTERED AGENT NAME CHANGED | 2016-02-04 | DALEY, ANDREW C | - |
| REINSTATEMENT | 2016-02-04 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-16 |
| ANNUAL REPORT | 2024-01-26 |
| ANNUAL REPORT | 2023-04-11 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-03-12 |
| ANNUAL REPORT | 2020-07-20 |
| ANNUAL REPORT | 2019-02-13 |
| REINSTATEMENT | 2018-10-06 |
| ANNUAL REPORT | 2017-04-28 |
| REINSTATEMENT | 2016-02-04 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6866018307 | 2021-01-27 | 0491 | PPS | 300 S Riverside Dr Ste 1000, Edgewater, FL, 32132-1927 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 8888587100 | 2020-04-15 | 0455 | PPP | 300 RIVERSIDE DR STE 1000, BRADENTON, FL, 34208-1022 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Apr 2025
Sources: Florida Department of State
