| Entity Name: | TAMPA BAY UVEITIS CENTER L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 17 Dec 2013 (11 years ago) |
| Document Number: | L13000174282 |
| FEI/EIN Number | 46-4343188 |
| Address: | 1703 North McMullen Booth Road, Unit 764, SAFETY HARBOR, FL 34695 |
| Mail Address: | 1703 North McMullen Booth Road, Unit 764, SAFETY HARBOR, FL 34695 |
| ZIP code: | 34695 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992188015 | 2015-07-07 | 2020-06-12 | 1703 N MCMULLEN BOOTH RD UNIT 764, SAFETY HARBOR, FL, 346959630, US | 5800 49TH ST N STE S108, ST PETERSBURG, FL, 337092146, US | |||||||||||||||||||
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| Phone | +1 727-317-5830 |
| Fax | 8885396488 |
Authorized person
| Name | DR. GRACE LEVY-CLARKE |
| Role | DIRECTOR |
| Phone | 7273175830 |
Taxonomy
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| License Number | ME99689 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DUNCOMBE, JEAN M | Agent | 3030 N ROCKY POINT DR, STE 150, TAMPA, FL 33607 |
| Name | Role | Address |
|---|---|---|
| LEVY-CLARKE, GRACE, MD | Manager | 1703 North McMullen Booth Road, Unit 764 SAFETY HARBOR, FL 34695 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-02-16 | 1703 North McMullen Booth Road, Unit 764, SAFETY HARBOR, FL 34695 | No data |
| CHANGE OF MAILING ADDRESS | 2019-02-16 | 1703 North McMullen Booth Road, Unit 764, SAFETY HARBOR, FL 34695 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-02 |
| ANNUAL REPORT | 2023-01-29 |
| ANNUAL REPORT | 2022-01-30 |
| ANNUAL REPORT | 2021-03-14 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-02-16 |
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-01-10 |
| ANNUAL REPORT | 2016-02-25 |
| ANNUAL REPORT | 2015-05-01 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2154657308 | 2020-04-29 | 0455 | PPP | 5800 49th street north s-108, SAINT PETERSBURG, FL, 33709-2146 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 21 Feb 2025
Sources: Florida Department of State
