| Entity Name: | TAMPA CHOICE THERAPY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 06 Sep 2019 (5 years ago) |
| Document Number: | L19000225983 |
| FEI/EIN Number | 84-3137591 |
| Address: | 18946 N DALE MABRY HWY, LUTZ, FL, 33548, US |
| Mail Address: | 1736 HERON COVE DR, LUTZ, FL, 33549, US |
| ZIP code: | 33548 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184194623 | 2018-11-27 | 2021-07-15 | 1736 HERON COVE DR, LUTZ, FL, 335499386, US | 18946 NORTH DALE MABRY, LUTZ, FL, 33548, US | |||||||||||||||||||||
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| Phone | +1 813-400-4321 |
| Fax | 8883050189 |
Authorized person
| Name | DONNA KATO |
| Role | OWNER / PROVIDER |
| Phone | 8134004321 |
Taxonomy
| Taxonomy Code | 225X00000X - Occupational Therapist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 012998200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KATO DONNA D | Agent | 1736 HERON COVE DR, LUTZ, FL, 33549 |
| Name | Role | Address |
|---|---|---|
| KATO DONNA D | Authorized Member | 1736 HERON COVE DR, LUTZ, FL, 33549 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-02-01 | 18946 N DALE MABRY HWY, LUTZ, FL 33548 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-02 |
| ANNUAL REPORT | 2023-02-01 |
| ANNUAL REPORT | 2022-01-28 |
| ANNUAL REPORT | 2021-02-11 |
| ANNUAL REPORT | 2020-02-22 |
| Florida Limited Liability | 2019-09-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
