| Entity Name: | BRANDON MEDICAL CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
BRANDON MEDICAL CARE, 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: | 31 Jul 2019 (6 years ago) |
| Document Number: | L19000195183 |
| FEI/EIN Number |
84-2643502
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 143 North Oakwood ave, brandon, FL, 33510, US |
| Mail Address: | 143 North Oakwood ave, Brandon, FL, 33510, US |
| ZIP code: | 33510 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548818073 | 2019-08-28 | 2021-04-22 | 6328 GUNN HWY STE B33624, TAMPA, FL, 336254101, US | 143 N OAKWOOD AVE, BRANDON, FL, 335104629, US | |||||||||||||||||||||||||||||||
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| Phone | +1 813-964-8526 |
| Phone | +1 813-734-8939 |
Authorized person
| Name | SHITAL MEHTA |
| Role | OWNER |
| Phone | 8137348939 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 800270806 |
| State | FL |
| Issuer | MEDICAID |
| Number | 861112772 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MEHTA SHITAL | Manager | 2206 BRANCH HILL STREET, TAMPA, FL, 33612 |
| APEX FINANCIAL SOLUTIONS, LLC | Agent | - |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-06-16 | 143 North Oakwood ave, brandon, FL 33510 | - |
| CHANGE OF MAILING ADDRESS | 2020-06-16 | 143 North Oakwood ave, brandon, FL 33510 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-05 |
| ANNUAL REPORT | 2024-02-28 |
| ANNUAL REPORT | 2023-03-31 |
| ANNUAL REPORT | 2022-02-02 |
| ANNUAL REPORT | 2021-03-25 |
| ANNUAL REPORT | 2020-06-16 |
| Florida Limited Liability | 2019-07-31 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 7001917000 | 2020-04-07 | 0455 | PPP | 143 North Oakwood Ave., BRANDON, FL, 33510-4629 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Apr 2025
Sources: Florida Department of State
