| Entity Name: | RADICALLY OPEN DBT TAMPA LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 03 Jun 2019 (6 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 10 Sep 2020 (4 years ago) |
| Document Number: | L19000146128 |
| FEI/EIN Number | 84-2552788 |
| Address: | 2005 Pan Am Circle, Suite 120, TAMPA, FL, 33607, US |
| Mail Address: | 2005 Pan Am Circle, Suite 120, TAMPA, FL, 33607, US |
| ZIP code: | 33607 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316567472 | 2020-04-19 | 2023-08-13 | 2005 PAN AM CIR STE 120, TAMPA, FL, 336072529, US | 2005 PAN AM CIR STE 120, TAMPA, FL, 336072529, US | |||||||||||||||
|
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| Phone | +1 813-602-2312 |
| Fax | 8133021173 |
Authorized person
| Name | HEIDI A ISON |
| Role | OWNER |
| Phone | 8136022312 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Ison HEIDI A | Agent | 2005 Pan Am Circle, Suite 120, TAMPA, FL, 33607 |
| Name | Role | Address |
|---|---|---|
| ISON HEIDI A | Manager | 2005 PAN AM CIRCLE, TAMPA, FL, 33607 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000078045 | PROGRESS | ACTIVE | 2022-06-29 | 2027-12-31 | No data | 2111 W SWANN AVE, SUITE 204, TAMPA, FL, 33606 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-15 | 2005 Pan Am Circle, Suite 120, TAMPA, FL 33607 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-06-28 | 2005 Pan Am Circle, Suite 120, TAMPA, FL 33607 | No data |
| CHANGE OF MAILING ADDRESS | 2023-06-28 | 2005 Pan Am Circle, Suite 120, TAMPA, FL 33607 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-01-19 | Ison, HEIDI A | No data |
| LC STMNT OF RA/RO CHG | 2020-09-10 | No data | No data |
| LC AMENDMENT | 2020-01-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-15 |
| ANNUAL REPORT | 2023-01-19 |
| ANNUAL REPORT | 2022-01-21 |
| ANNUAL REPORT | 2021-01-29 |
| CORLCRACHG | 2020-09-10 |
| ANNUAL REPORT | 2020-02-07 |
| LC Amendment | 2020-01-23 |
| Florida Limited Liability | 2019-06-03 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
