| Entity Name: | INTERNAL MEDICINE OF TAMPA BAY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
INTERNAL MEDICINE OF TAMPA BAY 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: | 08 May 2019 (6 years ago) |
| Document Number: | L19000125283 |
| FEI/EIN Number |
84-2363186
Federal Employer Identification (FEI) Number assigned by the IRS. |
| 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 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033759527 | 2020-01-13 | 2023-09-21 | PO BOX 49106, SAINT PETERSBURG, FL, 337439106, US | 2835 W DE LEON ST STE 102, TAMPA, FL, 336094130, US | |||||||||||||||||||||||||
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| Phone | +1 727-269-5618 |
| Fax | 7272653420 |
| Phone | +1 813-336-5808 |
| Fax | 8138220040 |
Authorized person
| Name | MANISH SOBTI |
| Role | ADMINISTRATOR |
| Phone | 7272695618 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 004191800 |
| State | FL |
| 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 |
| 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 | - |
| 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 |
Date of last update: 01 Mar 2025
Sources: Florida Department of State
