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TAMPA TELEMEDICINE LIMITED LIABILITY COMPANY

Company Details

Entity Name: TAMPA TELEMEDICINE LIMITED LIABILITY COMPANY
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 27 Mar 2020 (5 years ago)
Date of dissolution: 27 May 2020 (5 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 27 May 2020 (5 years ago)
Document Number: L20000091041
Address: 2202 N WESTSHORE BLVD, SUITE 200, TAMPA, FL, 33607
Mail Address: 2202 N WESTSHORE BLVD, SUITE 200, TAMPA, FL, 33607
ZIP code: 33607
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1841829710 2020-04-03 2020-05-07 2918 MAGNOLIA TRCE, TARPON SPRINGS, FL, 346888530, US 2918 MAGNOLIA TRCE, TARPON SPRINGS, FL, 346888530, US

Contacts

Phone +1 833-362-2562
Fax 8886409997

Authorized person

Name ERIC CARTER
Role OWNER
Phone 8333622562

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Other Provider Identifiers

Issuer STATE LICENSE
Number ME98126
State FL

Agent

Name Role Address
CARTER ERIC L Agent 2918 MAGNOLA TRCE, TARPON SPRINGS, FL, 34688

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2020-05-27 No data No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2020-05-27
Florida Limited Liability 2020-03-27

Date of last update: 01 Feb 2025

Sources: Florida Department of State