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DOCTORS IPA, LLC

Company Details

Entity Name: DOCTORS IPA, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 17 Oct 2017 (7 years ago)
Date of dissolution: 04 Mar 2024 (a year ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 04 Mar 2024 (a year ago)
Document Number: L17000215126
FEI/EIN Number 82-3139928
Address: 3218 W HORATIO ST, TAMPA, FL 33609
Mail Address: 3218 W HORATIO ST, TAMPA, FL 33609
ZIP code: 33609
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1417444951 2018-04-19 2018-04-19 3218 W HORATIO ST, TAMPA, FL, 336093028, US 7756 PALM RIVER RD, TAMPA, FL, 336194215, US

Contacts

Phone +1 813-600-9981

Authorized person

Name DR. THEOPHILUS SAI
Role MEMBER
Phone 8136009981

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

Agent

Name Role Address
Sai, Theophilus Agent 3218 W HORATIO ST, TAMPA, FL 33609

Authorized Member

Name Role Address
RISTIC HOLDINGS, LLC Authorized Member 3218 W Horatio St, Tampa, FL 33609
Rajani Medical Group LLC Authorized Member 5085 Quill Court, Palm Harbor, FL 34685
Bay Area Medical Clinic, P.A. Authorized Member 37900 Daughtery Road, Zephyrhills, FL 33541

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G18000050185 DOCTORS IPA EXPIRED 2018-04-20 2023-12-31 No data 3218 W HORATIO ST, TAMPA, FL, 33609

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2024-03-04 No data No data
REGISTERED AGENT NAME CHANGED 2022-04-12 Sai, Theophilus No data
REGISTERED AGENT ADDRESS CHANGED 2019-03-20 3218 W HORATIO ST, TAMPA, FL 33609 No data
LC STMNT OF RA/RO CHG 2018-10-31 No data No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2024-03-04
ANNUAL REPORT 2023-01-24
ANNUAL REPORT 2022-04-12
ANNUAL REPORT 2021-01-20
ANNUAL REPORT 2020-01-13
ANNUAL REPORT 2019-03-20
CORLCRACHG 2018-10-31
ANNUAL REPORT 2018-06-04
Florida Limited Liability 2017-10-17

Date of last update: 18 Jan 2025

Sources: Florida Department of State