Entity Name: | OPES HEALTH CHANNELSIDE LLC |
Jurisdiction: | FLORIDA |
Filing Type: |
Florida Limited Liability Co.
OPES HEALTH CHANNELSIDE 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: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
Date Filed: | 06 Feb 2015 (10 years ago) |
Date of dissolution: | 24 Sep 2021 (4 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 24 Sep 2021 (4 years ago) |
Document Number: | L15000023179 |
FEI/EIN Number |
47-3039902
Federal Employer Identification (FEI) Number assigned by the IRS. |
Address: | 109 NORTH 12TH STREET, TAMPA, FL, 33602, US |
Mail Address: | 109 NORTH 12TH STREET, TAMPA, FL, 33602, US |
ZIP code: | 33602 |
County: | Hillsborough |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1013385004 | 2015-09-08 | 2016-02-23 | 109 N 12TH ST, SUITE 1105, TAMPA, FL, 336023686, US | 912 CHANNELSIDE DR, SUITE 2103, TAMPA, FL, 336024229, US | |||||||||||||||||||||
|
Phone | +1 813-906-6737 |
Fax | 8559166737 |
Authorized person
Name | VICTOR CRUZ |
Role | PRESIDENT |
Phone | 8133973632 |
Taxonomy
Taxonomy Code | 208D00000X - General Practice Physician |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 015842000 |
State | FL |
Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
OPES HEALTH CHANNELSIDE LLC 401(K) PROFIT SHARING PLAN & TRUST | 2020 | 473039902 | 2021-04-13 | OPES HEALTH CHANNELSIDE LLC | 38 | |||||||||||||||||||||||||||||||
|
Role | Plan administrator |
Date | 2021-04-13 |
Name of individual signing | EDWARD ROJAS |
Valid signature | Filed with authorized/valid electronic signature |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2018-01-01 |
Business code | 621111 |
Sponsor’s telephone number | 8139066737 |
Plan sponsor’s address | 109 N 12TH STREET, SUITE 1105, TAMPA, FL, 33602 |
Signature of
Role | Plan administrator |
Date | 2021-04-13 |
Name of individual signing | EDWARD ROJAS |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2018-01-01 |
Business code | 621111 |
Sponsor’s telephone number | 8139066737 |
Plan sponsor’s address | 109 N 12TH STREET, SUITE 1105, TAMPA, FL, 33602 |
Signature of
Role | Plan administrator |
Date | 2020-07-14 |
Name of individual signing | EDWARD ROJAS |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2018-01-01 |
Business code | 621111 |
Sponsor’s telephone number | 8139066737 |
Plan sponsor’s address | 109 N 12TH STREET, SUITE 1105, TAMPA, FL, 33602 |
Plan administrator’s name and address
Administrator’s EIN | 264477125 |
Plan administrator’s name | 401K GENERATION |
Plan administrator’s address | 195 INTERNATIONAL PKWY, S #311, LAKE MARY, FL, 32746 |
Administrator’s telephone number | 8669985879 |
Signature of
Role | Plan administrator |
Date | 2019-06-27 |
Name of individual signing | EDWARD ROJAS |
Valid signature | Filed with authorized/valid electronic signature |
Name | Role | Address |
---|---|---|
CRUZ VICTOR D | Manager | 1190 EAST WASHINGTON STREET, TAMPA, FL, 33602 |
Cruz Victor D | Agent | 109 N 12th St, Tampa, FL, 33602 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G16000068875 | OPES HEALTH | ACTIVE | 2016-07-13 | 2026-12-31 | - | 912 CHANNELSIDE DRIVE, STE. 2102, TAMPA, FL, 33602 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | - | - |
REGISTERED AGENT NAME CHANGED | 2020-04-30 | Cruz, Victor Damaso | - |
REINSTATEMENT | 2020-04-30 | - | - |
REGISTERED AGENT ADDRESS CHANGED | 2020-04-30 | 109 N 12th St, 1105, Tampa, FL 33602 | - |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | - | - |
CHANGE OF PRINCIPAL ADDRESS | 2017-05-01 | 109 NORTH 12TH STREET, SUITE 1105, TAMPA, FL 33602 | - |
CHANGE OF MAILING ADDRESS | 2016-03-24 | 109 NORTH 12TH STREET, SUITE 1105, TAMPA, FL 33602 | - |
LC AMENDMENT | 2015-07-14 | - | - |
Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
---|---|---|---|---|---|---|---|
J20000281150 | ACTIVE | 2017 CA 005285 | HILLSBOROUGH CO | 2020-07-31 | 2025-08-24 | $1,030,699.49 | DPR CONSTRUCTION A GENERAL PARTNERSHIP, 315 E. ROBINSON STREET, SUITE 100, ORLANDO, FLORIDA 32801 |
J20000109476 | ACTIVE | 1000000860303 | HILLSBOROU | 2020-02-13 | 2030-02-19 | $ 3,770.63 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 5483 W WATERS AVE STE 1210, TAMPA FL336341236 |
J19000279578 | ACTIVE | 1000000822606 | HILLSBOROU | 2019-04-10 | 2029-04-17 | $ 5,636.77 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 5483 W WATERS AVE STE 1210, TAMPA FL336341236 |
Name | Date |
---|---|
REINSTATEMENT | 2020-04-30 |
ANNUAL REPORT | 2018-05-01 |
ANNUAL REPORT | 2017-05-01 |
ANNUAL REPORT | 2016-03-24 |
LC Amendment | 2015-07-14 |
Florida Limited Liability | 2015-02-06 |
Inspection Nr | Report ID | Date Opened | Site Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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342497344 | 0420600 | 2017-07-14 | 912 CHANNELSIDE DR SUITE 2103, TAMPA, FL, 33602 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Type | Complaint |
Activity Nr | 1240265 |
Health | Yes |
Violation Items
Citation ID | 01001 |
Citaton Type | Other |
Standard Cited | 19101030 C02 I A |
Issuance Date | 2017-09-26 |
Abatement Due Date | 2017-10-23 |
Current Penalty | 0.0 |
Initial Penalty | 0.0 |
Final Order | 2018-01-04 |
Nr Instances | 1 |
Nr Exposed | 3 |
FTA Current Penalty | 0.0 |
Citation text line | 29 CFR 1910.1030(c)(2)(i)(A): The exposure determination did not include a list of all job classifications in which all employees in those job classifications had occupational exposure: (a) at the workplace - the exposure determination did not include all job classifications including, but not limited to, dental assistant in which all employees are exposed to blood and other potentially infectious materials; on or about 7/14/17. |
Citation ID | 01002 |
Citaton Type | Other |
Standard Cited | 19101030 G02 II |
Issuance Date | 2017-09-26 |
Abatement Due Date | 2017-10-23 |
Current Penalty | 0.0 |
Initial Penalty | 0.0 |
Final Order | 2018-01-04 |
Nr Instances | 1 |
Nr Exposed | 16 |
FTA Current Penalty | 0.0 |
Citation text line | 29 CFR 1910.1030(g)(2)(ii): The employer did not ensure that training provided to employees with occupational exposure met the requirements of 29 CFR 1910.1030(g)(2)(ii)(A) through (g)(2)(ii)(B): (a) at the workplace - bloodborne pathogen training was not provided within one year of the previous training on March 16, 2016. Violation observed on or about 7/14/17. |
Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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9115257305 | 2020-05-01 | 0455 | PPP | 912 Channelside Drive 2103, Tampa, FL, 33602-4227 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 03 Apr 2025
Sources: Florida Department of State