| Entity Name: | MATTOS MEDICAL GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 25 Oct 2019 (5 years ago) |
| Document Number: | L19000258275 |
| FEI/EIN Number | 84-3502349 |
| Address: | 8315 NORTH SAULRAY STREET, TAMPA, FL, 33604 |
| Mail Address: | 8315 NORTH SAULRAY STREET, TAMPA, FL, 33604 |
| ZIP code: | 33604 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265845861 | 2014-06-11 | 2019-11-21 | 8315 N SAULRAY ST, TAMPA, FL, 336042770, US | 8315 N SAULRAY ST, TAMPA, FL, 336042770, US | |||||||||||||||
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| Phone | +1 813-871-2950 |
| Fax | 8138715972 |
Authorized person
| Name | KENNETH MATTOS |
| Role | OWNER |
| Phone | 8138712950 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Mattos Victor CEO | Agent | 8315 N Saulray St, Tampa, FL, 33604 |
| Name | Role | Address |
|---|---|---|
| MATTOS VICTOR | Chief Executive Officer | 8315 NORTH SAULRAY STREET, TAMPA, FL, 33604 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-04-01 | Mattos, Victor, CEO | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-01 | 8315 N Saulray St, Tampa, FL 33604 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-01 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-04-06 |
| ANNUAL REPORT | 2021-04-06 |
| AMENDED ANNUAL REPORT | 2020-06-10 |
| ANNUAL REPORT | 2020-04-30 |
| Florida Limited Liability | 2019-10-25 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
