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NOVUM TAMPA SNF, LLC

Company Details

Entity Name: NOVUM TAMPA SNF, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 24 Feb 2016 (9 years ago)
Date of dissolution: 22 Sep 2017 (7 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2017 (7 years ago)
Document Number: L16000038029
Address: 3152 LITTLE ROAD, SUITE 146, TRINITY, FL 34655
Mail Address: 3152 LITTLE ROAD, SUITE 146, TRINITY, FL 34655
ZIP code: 34655
County: Pasco
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1528414356 2016-05-11 2016-05-11 3152 LITTLE RD, SUITE 146, TRINITY, FL, 346551864, US 12250 N 22ND ST, TAMPA, FL, 336124955, US

Contacts

Phone +1 813-920-3133
Phone +1 813-972-8001

Authorized person

Name MR. DOUGLAS M KLINOWSKI
Role CEO
Phone 4073194427

Taxonomy

Taxonomy Code 314000000X - Skilled Nursing Facility
State FL
Is Primary Yes

Agent

Name Role Address
DRUMMONDI, TEMPLE H, ESQ. Agent 6987 EAST FOWLER AVENUE, TAMPA, FL 33617

Manager

Name Role Address
KLINOWSKI, DOUGLAS M Manager 3152 LITTLE ROAD, SUITE 146, TRINITY, FL 34655

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2017-09-22 No data No data

Documents

Name Date
Florida Limited Liability 2016-02-24

Date of last update: 20 Jan 2025

Sources: Florida Department of State