| Entity Name: | BESTMEDICAL L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 08 Dec 2016 (8 years ago) |
| Document Number: | L16000222942 |
| FEI/EIN Number | 81-5069398 |
| Address: | 4730 N. HABANA AVE, SUITE 204, TAMPA, FL 33614 |
| Mail Address: | 4730 N. HABANA AVE, SUITE 204, TAMPA, FL 33614 |
| ZIP code: | 33614 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114484813 | 2019-02-28 | 2021-06-08 | 4730 N HABANA AVE STE 204, TAMPA, FL, 336147148, US | 4730 N HABANA AVE STE 204, TAMPA, FL, 336147148, US | |||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||
| Phone | +1 813-605-7778 |
| Fax | 8134387860 |
| Phone | +1 786-715-8147 |
Authorized person
| Name | RAIDEL VALDES-CRESPO |
| Role | OWNER |
| Phone | 8136057778 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 208M00000X - Hospitalist Physician |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 012343800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| VALDES CRESPO, RAIDEL | Agent | 4730 N. Habana Ave, Suite 204, Tampa, FL 33614 |
| Name | Role | Address |
|---|---|---|
| Valdes Crespo, Raidel, Dr. | President | 4730 N. HABANA AVE, SUITE 204 TAMPA, FL 33614 |
| Name | Role | Address |
|---|---|---|
| BORREGO, JENNY | Office Manager | 4730 N. HABANA AVE, SUITE 204 TAMPA, FL 33614 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2022-02-21 | 4730 N. Habana Ave, Suite 204, Tampa, FL 33614 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-06-10 | 4730 N. HABANA AVE, SUITE 204, TAMPA, FL 33614 | No data |
| CHANGE OF MAILING ADDRESS | 2021-06-10 | 4730 N. HABANA AVE, SUITE 204, TAMPA, FL 33614 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-24 |
| ANNUAL REPORT | 2023-03-02 |
| ANNUAL REPORT | 2022-02-21 |
| ANNUAL REPORT | 2021-03-18 |
| ANNUAL REPORT | 2020-02-01 |
| ANNUAL REPORT | 2019-03-02 |
| ANNUAL REPORT | 2018-03-04 |
| Florida Limited Liability | 2016-12-08 |
Date of last update: 18 Feb 2025
Sources: Florida Department of State
