| Entity Name: | TAMPA BAY RENAL, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 09 Oct 2015 (9 years ago) |
| Document Number: | L15000172153 |
| FEI/EIN Number | 47-5333423 |
| Mail Address: | 37 W Spanish Main, TAMPA, FL 33609 |
| Address: | 508 S Habana Ave., 270, Tampa, FL 33609 |
| ZIP code: | 33609 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609249374 | 2015-11-03 | 2015-11-03 | 506 S ROYAL PALM WAY, TAMPA, FL, 336093718, US | 508 S HABANA AVE, SUITE 270, TAMPA, FL, 336094181, US | |||||||||||||||||
|
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| Phone | +1 813-388-1732 |
Authorized person
| Name | CHHAVI GUPTA |
| Role | MANAGER |
| Phone | 8133881732 |
Taxonomy
| Taxonomy Code | 207RN0300X - Nephrology Physician |
| License Number | ME 115872 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| A C DOUBLE P CORPORATE SERVICES, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| sahoo, sanjiv | Manager | 37 W Spanish Main, TAMPA, FL 33609 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-02-01 | 508 S Habana Ave., 270, Tampa, FL 33609 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-03-03 | 508 S Habana Ave., 270, Tampa, FL 33609 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-18 |
| ANNUAL REPORT | 2024-02-01 |
| ANNUAL REPORT | 2023-02-01 |
| ANNUAL REPORT | 2022-04-13 |
| ANNUAL REPORT | 2021-01-18 |
| ANNUAL REPORT | 2020-02-20 |
| ANNUAL REPORT | 2019-02-11 |
| ANNUAL REPORT | 2018-01-31 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-03-03 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
