| Entity Name: | THYROID ENDOCRINOLOGY AND DIABETES SPECIALISTS OF TAMPA LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 16 Feb 2016 (9 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 25 Sep 2017 (7 years ago) |
| Document Number: | L16000036304 |
| FEI/EIN Number | 81-1435698 |
| Address: | 4030 Henderson Blvd., STE#701, Tampa, FL 33629 |
| Mail Address: | 4030 Henderson Blvd., STE#701, Tampa, FL 33629 |
| ZIP code: | 33629 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912366428 | 2016-02-12 | 2024-08-22 | 4030 HENDERSON BLVD STE 701, TAMPA, FL, 336294940, US | 2204 ASHLEY OAKS CIR, SUITE 102, WESLEY CHAPEL, FL, 335446426, US | |||||||||||||||||||
|
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| Phone | +1 813-474-3636 |
| Fax | 8138622536 |
Authorized person
| Name | AMBREEN QURESHI |
| Role | PRESIDENT |
| Phone | 8134743636 |
Taxonomy
| Taxonomy Code | 207RE0101X - Endocrinology, Diabetes & Metabolism Physician |
| License Number | ME115520 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| QURESHI, AMBREEN | Agent | 4030 Henderson Blvd., STE#701, Tampa, FL 33629 |
| Name | Role | Address |
|---|---|---|
| FIROZ, ARSHAD | Manager | 4030 Henderson Blvd., STE#701 Tampa, FL 33629 |
| QURESHI, AMBREEN | Manager | 4030 Henderson Blvd., STE#701 Tampa, FL 33629 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-16 | 4030 Henderson Blvd., STE#701, Tampa, FL 33629 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-16 | 4030 Henderson Blvd., STE#701, Tampa, FL 33629 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-16 | 4030 Henderson Blvd., STE#701, Tampa, FL 33629 | No data |
| REGISTERED AGENT NAME CHANGED | 2017-09-25 | QURESHI, AMBREEN | No data |
| REINSTATEMENT | 2017-09-25 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| LC AMENDMENT | 2016-04-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-03 |
| ANNUAL REPORT | 2023-04-16 |
| ANNUAL REPORT | 2022-01-27 |
| ANNUAL REPORT | 2021-02-02 |
| ANNUAL REPORT | 2020-02-17 |
| ANNUAL REPORT | 2019-02-20 |
| ANNUAL REPORT | 2018-01-21 |
| REINSTATEMENT | 2017-09-25 |
| LC Amendment | 2016-04-27 |
| Florida Limited Liability | 2016-02-16 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
