| Entity Name: | TOWN N COUNTRY MEDICAL CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 01 Nov 2018 (6 years ago) |
| Document Number: | L18000257162 |
| FEI/EIN Number | 83-2493738 |
| Address: | 6107 Memorial Hwy, tampa, FL, 33615, US |
| Mail Address: | 6107 Memorial Hwy, Tampa, FL, 33615, US |
| ZIP code: | 33615 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356926240 | 2021-03-12 | 2021-03-12 | 6107 MEMORIAL HWY STE A, TAMPA, FL, 336154564, US | 6107 MEMORIAL HWY STE A, TAMPA, FL, 336154564, US | |||||||||||||||||||||
|
|||||||||||||||||||||||||
| Phone | +1 813-514-2328 |
| Fax | 8135142485 |
Authorized person
| Name | MRS. SHITAL MEHTA |
| Role | OWNER |
| Phone | 8134866442 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1861460610 |
| State | FL |
| Name | Role |
|---|---|
| APEX FINANCIAL SOLUTIONS, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| MEHTA SHITAL | Manager | 143 N. Oakwood Ave, Brandon, FL, 33510 |
| PATEL PARENKUMAR | Manager | 143 N. Oakwood Ave, Brandon, FL, 33510 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-03-25 | 6107 Memorial Hwy, A, tampa, FL 33615 | No data |
| CHANGE OF MAILING ADDRESS | 2021-03-25 | 6107 Memorial Hwy, A, tampa, FL 33615 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-29 |
| ANNUAL REPORT | 2023-03-31 |
| ANNUAL REPORT | 2022-02-02 |
| ANNUAL REPORT | 2021-03-25 |
| ANNUAL REPORT | 2020-06-17 |
| ANNUAL REPORT | 2019-04-23 |
| Florida Limited Liability | 2018-11-01 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
