| Entity Name: | RANDOLPH DIABETES AND WELLNESS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
RANDOLPH DIABETES AND WELLNESS 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: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 15 Jun 2016 (9 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 14 Dec 2018 (6 years ago) |
| Document Number: | L16000115758 |
| FEI/EIN Number |
82-3423352
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 13047 W. Linebaugh Ave, TAMPA, FL, 33626, US |
| Mail Address: | 13047 W. Linebaugh Ave, TAMPA, FL, 33626, US |
| ZIP code: | 33626 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609378991 | 2018-03-02 | 2021-05-12 | 13047 W LINEBAUGH AVE STE 102, TAMPA, FL, 336264487, US | 13047 W LINEBAUGH AVE STE 102, TAMPA, FL, 336264487, US | |||||||||||||||||||||||||||
|
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| Phone | +1 813-475-6542 |
| Fax | 8134756874 |
Authorized person
| Name | MS. KIMBERLY T RANDOLPH |
| Role | OWNER/MANAGER |
| Phone | 8138467698 |
Taxonomy
| Taxonomy Code | 207QA0505X - Adult Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 363LA2200X - Adult Health Nurse Practitioner |
| License Number | ARNP9318390 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| RANDOLPH KIMBERLY | Auth | 13047 W. Linebaugh Ave, TAMPA, FL, 33626 |
| RANDOLPH KIMBERLY | Agent | 13047 W. Linebaugh Ave, TAMPA, FL, 33626 |
| 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 | - |
| 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 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
