| Entity Name: | CUMEDICA DOCTORS CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
CUMEDICA DOCTORS CENTER, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 11 Mar 2019 (6 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 10 May 2019 (6 years ago) |
| Document Number: | L19000068166 |
| FEI/EIN Number |
83-4041644
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 4618 N Armenia Ave, Tampa, FL, 33603, US |
| Mail Address: | 8904 W HAMILTON AVE, TAMPA, FL, 33615, US |
| ZIP code: | 33603 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093378101 | 2019-04-16 | 2020-10-15 | 8904 W HAMILTON AVE, TAMPA, FL, 336152726, US | 4618 N ARMENIA AVE, TAMPA, FL, 336032706, US | |||||||||||||||||||
|
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| Phone | +1 813-997-6042 |
Authorized person
| Name | MAYRA LOPEZ |
| Role | OWNER |
| Phone | 8135098083 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 103116700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LOPEZ MAYRA | Manager | 8904 W. HAMILTON AVE, TAMPA, FL, 33615 |
| LOPEZ MAYRA | Agent | 8904 W HAMILTON AVE, TAMPA, FL, 33615 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-12 | 4618 N Armenia Ave, Tampa, FL 33603 | - |
| LC AMENDMENT | 2019-05-10 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2019-05-10 | 8904 W HAMILTON AVE, TAMPA, FL 33615 | - |
| LC AMENDMENT | 2019-04-04 | - | - |
| REGISTERED AGENT NAME CHANGED | 2019-04-04 | LOPEZ, MAYRA | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-12 |
| ANNUAL REPORT | 2023-04-20 |
| ANNUAL REPORT | 2022-03-26 |
| ANNUAL REPORT | 2021-04-12 |
| ANNUAL REPORT | 2020-03-08 |
| LC Amendment | 2019-05-10 |
| LC Amendment | 2019-04-04 |
| Florida Limited Liability | 2019-03-11 |
Date of last update: 02 Mar 2025
Sources: Florida Department of State
