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INTERNAL MEDICINE OF TAMPA BAY LLC - Florida Company Profile

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Company Details

Entity Name: INTERNAL MEDICINE OF TAMPA BAY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 08 May 2019 (6 years ago)
Document Number: L19000125283
FEI/EIN Number 84-2363186
Address: 508 S HABANA AVE STE 335, TAMPA, FL, 33609, US
Mail Address: 508 S HABANA AVE STE 335, TAMPA, FL, 33609, US
ZIP code: 33609
City: Tampa
County: Hillsborough
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
KALLU PREETI DR President 4903 BAY WAY DRIVE, TAMPA, FL, 33629
KALLU PREETI DR Secretary 4903 BAY WAY DRIVE, TAMPA, FL, 33629
KALLU PREETI DR Treasurer 4903 BAY WAY DRIVE, TAMPA, FL, 33629
VARANASI AJAY DR Manager 4903 BAY WAY DRIVE, TAMPA, FL, 33629
KALLU PREETI DR Agent 4903 W BAY WAY DRIVE, TAMPA, FL, 33629

National Provider Identifier

NPI Number:
1033759527
Certification Date:
2023-09-21

Authorized Person:

Name:
MANISH SOBTI
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
7272653420
Fax:
8138220040

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-04-30 508 S HABANA AVE STE 335, TAMPA, FL 33609 -
CHANGE OF MAILING ADDRESS 2021-04-30 508 S HABANA AVE STE 335, TAMPA, FL 33609 -
REGISTERED AGENT ADDRESS CHANGED 2021-04-30 4903 W BAY WAY DRIVE, TAMPA, FL 33629 -

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-04-29
ANNUAL REPORT 2022-04-30
ANNUAL REPORT 2021-04-30
ANNUAL REPORT 2020-06-21
Florida Limited Liability 2019-05-08

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Date of last update: 02 Jul 2025

Sources: Florida Department of State