| Entity Name: | AZIMUTH HEALTH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 19 Sep 2018 (6 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 11 Oct 2024 (4 months ago) |
| Document Number: | L18000223391 |
| FEI/EIN Number | 83-2046541 |
| Address: | 4204 W LINEBAUGH AVE, TAMPA, FL, 33624, US |
| Mail Address: | 4204 W LINEBAUGH AVE, TAMPA, FL, 33624, US |
| ZIP code: | 33624 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306450085 | 2020-09-01 | 2020-09-01 | 4204 W LINEBAUGH AVE, TAMPA, FL, 336245241, US | 4204 W LINEBAUGH AVE, TAMPA, FL, 336245241, US | |||||||||||||
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| Phone | +1 813-940-8855 |
Authorized person
| Name | DUELLYN PANDIS |
| Role | EXECUTIVE DIRECTOR |
| Phone | 8139408855 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PANDIS RANDOLPH S | Agent | 4204 WEST LINEBAUGH AVE., TAMPA, FL, 33624 |
| Name | Role | Address |
|---|---|---|
| PANDIS RANDOLPH S | Manager | 9258 Brindlewood Dr., Odessa, FL, 33556 |
| Pandis Duellyn ZDR. | Manager | 9258 Brindlewood Drive, Odessa, FL, 33556 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000110753 | TAMPA HYDRATION AND WELLNESS | ACTIVE | 2021-08-26 | 2026-12-31 | No data | 4204 WEST LINEBAUGH AVE., TAMPA, FL, 33624 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-10-11 | PANDIS, RANDOLPH S | No data |
| REINSTATEMENT | 2024-10-11 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-06-10 | 4204 WEST LINEBAUGH AVE., TAMPA, FL 33624 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-10-16 | 4204 W LINEBAUGH AVE, TAMPA, FL 33624 | No data |
| LC AMENDMENT | 2019-10-16 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2019-10-16 | 4204 W LINEBAUGH AVE, TAMPA, FL 33624 | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2024-10-11 |
| ANNUAL REPORT | 2023-04-20 |
| ANNUAL REPORT | 2022-04-14 |
| ANNUAL REPORT | 2021-04-21 |
| ANNUAL REPORT | 2020-06-10 |
| LC Amendment | 2019-10-16 |
| ANNUAL REPORT | 2019-02-12 |
| Florida Limited Liability | 2018-09-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
