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RESURGENCE TAMPA BAY LLC

Company Details

Entity Name: RESURGENCE TAMPA BAY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 26 Feb 2020 (5 years ago)
Document Number: L20000063352
FEI/EIN Number 84-4873989
Address: 3808 GUNN HIGHWAY, TAMPA, FL 33618
Mail Address: 3808 GUNN HIGHWAY, TAMPA, FL 33618
ZIP code: 33618
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1871114801 2020-04-30 2020-04-30 3808 GUNN HWY, TAMPA, FL, 336188757, US 3808 GUNN HWY, TAMPA, FL, 336188757, US

Contacts

Phone +1 813-600-5133

Authorized person

Name CHRISTINA SANCHEZ MILLER
Role CFO
Phone 8136005133

Taxonomy

Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary No
Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary No
Taxonomy Code 261QM0850X - Adult Mental Health Clinic/Center
Is Primary No
Taxonomy Code 324500000X - Substance Abuse Rehabilitation Facility
Is Primary Yes

Agent

Name Role Address
SANCHEZ MILLER, CHRISTINA Agent 3808 GUNN HIGHWAY, TAMPA, FL 33618

Authorized Member

Name Role Address
ARTHUR, FORREST, DR. Authorized Member 3808 GUNN HIGHWAY, TAMPA, FL 33618
SANCHEZ MILLER, CHRISTINA Authorized Member 3808 GUNN HIGHWAY, TAMPA, FL 33618

Documents

Name Date
ANNUAL REPORT 2024-04-23
ANNUAL REPORT 2023-01-24
AMENDED ANNUAL REPORT 2022-09-01
ANNUAL REPORT 2022-02-01
ANNUAL REPORT 2021-02-03
Florida Limited Liability 2020-02-26

Date of last update: 16 Jan 2025

Sources: Florida Department of State