| Entity Name: | CHINESE ACUPUNCTURE AND HERBAL MEDICINE OF TAMPA LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 21 Mar 2019 (6 years ago) |
| Document Number: | L19000079305 |
| FEI/EIN Number | 84-2041940 |
| Address: | 4530 West Village Dr., TAMPA, FL 33624 |
| Mail Address: | 16100 MISTY LN, TAMPA, FL 33625 |
| ZIP code: | 33624 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144856691 | 2020-03-17 | 2020-03-17 | 16100 MISTY LN, TAMPA, FL, 336251315, US | 16100 MISTY LN, TAMPA, FL, 336251315, US | |||||||||||||||||||||||||
|
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| Phone | +1 817-901-1686 |
Authorized person
| Name | CYNTHIA JULIE SHARP |
| Role | OWNER/MANAGER |
| Phone | 8179011686 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QC1500X - Community Health Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QP3300X - Pain Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SHARP, CYNTHIA | Agent | 16100 MISTY LN, TAMPA, FL 33625 |
| Name | Role | Address |
|---|---|---|
| SHARP, CYNTHIA | Manager | 16100 MISTY LN, TAMPA, FL 33625 |
| SHARP, WILLIAM L | Manager | 16100 MISTY LN, TAMPA, FL 33625 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-02-17 | 4530 West Village Dr., TAMPA, FL 33624 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-03-03 |
| ANNUAL REPORT | 2021-02-17 |
| ANNUAL REPORT | 2020-01-21 |
| Florida Limited Liability | 2019-03-21 |
Date of last update: 17 Jan 2025
Sources: Florida Department of State
