| Entity Name: | LARA WITTINE, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 08 Jun 2020 (5 years ago) |
| Document Number: | L20000156840 |
| FEI/EIN Number | 852190714 |
| Address: | 3813 W El Prado Blvd, TAMPA, FL, 33629, US |
| Mail Address: | 3813 W El Prado Blvd, TAMPA, FL, 33629, US |
| ZIP code: | 33629 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649881137 | 2020-08-10 | 2020-08-26 | 3804 W GRANADA ST, TAMPA, FL, 336296807, US | 13601 BRUCE B DOWNS BLVD, TAMPA, FL, 336134657, US | |||||||||||||||
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| Phone | +1 619-606-6025 |
| Phone | +1 813-615-7410 |
Authorized person
| Name | DR. LARA M WITTINE |
| Role | PRINCIPAL |
| Phone | 6196066025 |
Taxonomy
| Taxonomy Code | 207RS0012X - Sleep Medicine (Internal Medicine) Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WITTINE LARA DR. | Agent | 3804 W. GRANADA ST., TAMPA, FL, 33629 |
| Name | Role | Address |
|---|---|---|
| WITTINE LARA DR. | Manager | 3813 W EL PRADO BLVD, TAMPA, FL, 33629 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-06-17 | 3813 W El Prado Blvd, TAMPA, FL 33629 | No data |
| CHANGE OF MAILING ADDRESS | 2024-06-17 | 3813 W El Prado Blvd, TAMPA, FL 33629 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-11 |
| ANNUAL REPORT | 2023-02-02 |
| ANNUAL REPORT | 2022-01-10 |
| ANNUAL REPORT | 2021-01-30 |
| Florida Limited Liability | 2020-06-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
