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GREATER TAMPA BAY PHYSICIANS - PINELLAS, LLC

Company Details

Entity Name: GREATER TAMPA BAY PHYSICIANS - PINELLAS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 01 Aug 2013 (11 years ago)
Date of dissolution: 07 Sep 2021 (3 years ago)
Last Event: LC VOLUNTARY DISSOLUTION
Event Date Filed: 07 Sep 2021 (3 years ago)
Document Number: L13000108942
FEI/EIN Number 90-1009869
Address: ONE PARK PLAZA, NASHVILLE, TN 37203
Mail Address: P O BOX 750, NASHVILLE, TN 37203
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1629402359 2013-08-29 2013-08-29 1100 62ND AVE S, ST PETERSBURG, FL, 337055620, US 1100 62ND AVE S, ST PETERSBURG, FL, 337055620, US

Contacts

Phone +1 727-866-3166
Fax 7278644043

Authorized person

Name KEN GRIFFIN
Role AO/VP
Phone 7277717591

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Agent

Name Role
C T CORPORATION SYSTEM Agent

Manager

Name Role Address
RUTHERFORD, WILLIAM B Manager ONE PARK PLAZA, NASHVILLE, TN 37203
WYATT, CHRISTOPHER F Manager ONE PARK PLAZA, NASHVILLE, TN 37203
FRANCK, JOHN M, II Manager ONE PARK PLAZA, NASHVILLE, TN 37203

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G13000097094 BAYWAY FAMILY PRACTICE EXPIRED 2013-10-01 2018-12-31 No data ONE PARK PLAZA, LEGAL DEPT., NASHVILLE, TN, 37203
G13000097095 POINT BRITTANY MEDICAL CENTER EXPIRED 2013-10-01 2018-12-31 No data ONE PARK PLAZA, LEGAL DEPT., NASHVILLE, TN, 37203
G13000097097 NORTHEAST FAMILY MEDICINE EXPIRED 2013-10-01 2018-12-31 No data ONE PARK PLAZA, LEGAL DEPT., NASHVILLE, TN, 37203
G13000097098 SKYWAY FAMILY PRACTICE EXPIRED 2013-10-01 2018-12-31 No data ONE PARK PLAZA, LEGAL DEPT., NASHVILLE, TN, 37203

Events

Event Type Filed Date Value Description
LC VOLUNTARY DISSOLUTION 2021-09-07 No data No data
LC STMNT OF TERM 2021-09-07 No data No data
CHANGE OF PRINCIPAL ADDRESS 2016-04-25 ONE PARK PLAZA, NASHVILLE, TN 37203 No data

Documents

Name Date
CORLCSTERM 2021-09-07
LC Voluntary Dissolution 2021-09-07
ANNUAL REPORT 2021-04-15
ANNUAL REPORT 2020-05-01
ANNUAL REPORT 2019-04-23
ANNUAL REPORT 2018-04-23
ANNUAL REPORT 2017-04-24
ANNUAL REPORT 2016-04-25
ANNUAL REPORT 2015-04-21
ANNUAL REPORT 2014-04-30

Date of last update: 22 Jan 2025

Sources: Florida Department of State