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RANDOLPH DIABETES AND WELLNESS LLC - Florida Company Profile

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Company Details

Entity Name: RANDOLPH DIABETES AND WELLNESS LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 15 Jun 2016 (9 years ago)
Last Event: LC NAME CHANGE
Event Date Filed: 14 Dec 2018 (7 years ago)
Document Number: L16000115758
FEI/EIN Number 82-3423352
Address: 13047 W. Linebaugh Ave, TAMPA, FL, 33626, US
Mail Address: 13047 W. Linebaugh Ave, TAMPA, FL, 33626, US
ZIP code: 33626
City: Tampa
County: Hillsborough
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
RANDOLPH KIMBERLY Auth 13047 W. Linebaugh Ave, TAMPA, FL, 33626
RANDOLPH KIMBERLY Agent 13047 W. Linebaugh Ave, TAMPA, FL, 33626

National Provider Identifier

NPI Number:
1609378991
Certification Date:
2021-05-12

Authorized Person:

Name:
MS. KIMBERLY T RANDOLPH
Role:
OWNER/MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
363LA2200X - Adult Health Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
261QH0100X - Health Service Clinic/Center
Is Primary:
No
Selected Taxonomy:
207QA0505X - Adult Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
8134756874

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2019-12-10 13047 W. Linebaugh Ave, Suite 102, TAMPA, FL 33626 -
CHANGE OF MAILING ADDRESS 2019-12-10 13047 W. Linebaugh Ave, Suite 102, TAMPA, FL 33626 -
REGISTERED AGENT ADDRESS CHANGED 2019-12-10 13047 W. Linebaugh Ave, Suite 102, TAMPA, FL 33626 -
LC NAME CHANGE 2018-12-14 RANDOLPH DIABETES AND WELLNESS LLC -

Documents

Name Date
ANNUAL REPORT 2025-02-18
ANNUAL REPORT 2024-01-23
ANNUAL REPORT 2023-03-01
ANNUAL REPORT 2022-07-15
ANNUAL REPORT 2021-04-06
ANNUAL REPORT 2020-06-08
AMENDED ANNUAL REPORT 2019-12-10
ANNUAL REPORT 2019-04-30
LC Name Change 2018-12-14
ANNUAL REPORT 2018-04-30

USAspending Awards / Financial Assistance

Date:
2021-03-20
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
2615.00
Total Face Value Of Loan:
0.00
Date:
2021-03-17
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
-2615.00
Total Face Value Of Loan:
0.00

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Date of last update: 03 Aug 2025

Sources: Florida Department of State