| Entity Name: | NORTH TAMPA PHYSICIAN ASSOCIATES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 10 Jan 2020 (5 years ago) |
| Date of dissolution: | 30 Aug 2021 (3 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 30 Aug 2021 (3 years ago) |
| Document Number: | L20000018552 |
| FEI/EIN Number | 84-4248232 |
| Address: | 5196 MARINER BLVD, SPRING HILL, FL 34609 |
| Mail Address: | 5196 MARINER BLVD, SPRING HILL, FL 34609 |
| ZIP code: | 34609 |
| County: | Hernando |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528608155 | 2020-01-11 | 2020-01-11 | 18130 LONGWATER RUN DR, TAMPA, FL, 336472211, US | 5196 MARINER BLVD, SPRING HILL, FL, 346091802, US | |||||||||||||||||||||
|
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| Phone | +1 352-871-0992 |
Authorized person
| Name | DR. IHAB HERRAKA |
| Role | PRESIDENT / PHYSICIAN |
| Phone | 3528710992 |
Taxonomy
| Taxonomy Code | 207RG0100X - Gastroenterology Physician |
| Is Primary | No |
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | No |
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HERRAKA, IHAB | Agent | 5196 MARINER BLVD, SPRING HILL, FL 34609 |
| Name | Role | Address |
|---|---|---|
| HERRAKA, IHAB | Manager | 5196 MARINER BLVD, SPRING HILL, FL 34609 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2021-08-30 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-08-30 |
| VOLUNTARY DISSOLUTION | 2021-08-30 |
| Florida Limited Liability | 2020-01-10 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
