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MARTHA A PRICE MD PA

Company Details

Entity Name: MARTHA A PRICE MD PA
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 21 Sep 1989 (35 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 03 Sep 2010 (14 years ago)
Document Number: L17596
FEI/EIN Number 59-2970608
Address: 5125 W NEPTUNE WAY, Tampa, FL 33609
Mail Address: 5125 W NEPTUNE WAY, 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
1457674186 2010-03-09 2010-05-04 3211 W AZEELE ST, TAMPA, FL, 336093017, US 3211 W AZEELE ST, TAMPA, FL, 336093017, US

Contacts

Phone +1 813-879-3334
Fax 8133531945

Authorized person

Name DR. MARTHA ANN PRICE
Role PRESIDENT/OWNER
Phone 8138793334

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Agent

Name Role Address
PRICE, MARTHA A, Dr. Agent 3211 AZEELE STREET, TAMPA, FL 33609

Dr.

Name Role Address
MARTHA A PRICE Dr. 3211 W. Azeele St, Tampa, FL 33609

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-02-08 5125 W NEPTUNE WAY, Tampa, FL 33609 No data
CHANGE OF MAILING ADDRESS 2022-02-08 5125 W NEPTUNE WAY, Tampa, FL 33609 No data
REGISTERED AGENT NAME CHANGED 2015-01-08 PRICE, MARTHA A, Dr. No data
NAME CHANGE AMENDMENT 2010-09-03 MARTHA A PRICE MD PA No data
REGISTERED AGENT ADDRESS CHANGED 2004-02-17 3211 AZEELE STREET, TAMPA, FL 33609 No data

Documents

Name Date
ANNUAL REPORT 2025-01-03
ANNUAL REPORT 2024-02-08
ANNUAL REPORT 2023-01-23
ANNUAL REPORT 2022-01-19
AMENDED ANNUAL REPORT 2021-02-24
ANNUAL REPORT 2021-01-31
ANNUAL REPORT 2020-01-18
ANNUAL REPORT 2019-02-12
ANNUAL REPORT 2018-01-11
ANNUAL REPORT 2017-02-10

Date of last update: 03 Feb 2025

Sources: Florida Department of State