| Entity Name: | GULF TO BAY INFECTIOUS DISEASE CONSULTANTS, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Company
GULF TO BAY INFECTIOUS DISEASE CONSULTANTS, PLLC 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: | 24 Oct 2014 (10 years ago) |
| Document Number: | L14000167083 |
| FEI/EIN Number |
47-1915614
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 4129 W Kennedy Blvd, Ste 2, TAMPA, FL 33609 |
| Mail Address: | P. O Box 320546, TAMPA, FL 33679 |
| ZIP code: | 33609 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215330824 | 2014-09-28 | 2023-10-23 | PO BOX 320546, TAMPA, FL, 336792546, US | 4129 W KENNEDY BLVD STE 2, TAMPA, FL, 336092254, US | |||||||||||||||||||||||||
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| Phone | +1 813-541-1466 |
| Fax | 8882493323 |
Authorized person
| Name | DR. MUDATHIRU BUHARI |
| Role | MANAGING MEMBER |
| Phone | 8135411466 |
Taxonomy
| Taxonomy Code | 207RI0200X - Infectious Disease Physician |
| License Number | ME 111588 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 505412 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BUHARI, MUDATHIRU | Agent | 4129 W Kennedy Blvd, Ste 2, TAMPA, FL 33609 |
| BUHARI, MUDATHIRU | Manager | 4129 W Kennedy Blvd, Ste 2 TAMPA, FL 33609 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-02-06 | 4129 W Kennedy Blvd, Ste 2, TAMPA, FL 33609 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2019-02-06 | 4129 W Kennedy Blvd, Ste 2, TAMPA, FL 33609 | - |
| CHANGE OF MAILING ADDRESS | 2015-01-02 | 4129 W Kennedy Blvd, Ste 2, TAMPA, FL 33609 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-09 |
| ANNUAL REPORT | 2024-02-01 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-01-23 |
| ANNUAL REPORT | 2021-01-10 |
| ANNUAL REPORT | 2020-01-15 |
| ANNUAL REPORT | 2019-02-06 |
| ANNUAL REPORT | 2018-01-17 |
| ANNUAL REPORT | 2017-02-10 |
| ANNUAL REPORT | 2016-03-13 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1257228509 | 2021-02-18 | 0455 | PPS | 4129 W Kennedy Blvd Ste 2, Tampa, FL, 33609-2254 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 8167137007 | 2020-04-08 | 0455 | PPP | 4129 W. KENNEDY BLVD SUITE 2, TAMPA, FL, 33609-2226 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 20 Feb 2025
Sources: Florida Department of State
