| Entity Name: | OLGA KALIEBE, MD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
OLGA KALIEBE, MD, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 02 Jul 2020 (5 years ago) |
| Document Number: | L20000179777 |
| FEI/EIN Number |
85-1725417
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Mail Address: | 2823 W FOUNTAIN BLVD, TAMPA, FL, 33609, US |
| Address: | 2919 W Swann Ave, Unit 105B, Tampa, FL, 33609, US |
| ZIP code: | 33609 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144848292 | 2020-07-06 | 2020-07-06 | PO BOX 49106, SAINT PETERSBURG, FL, 337439106, US | 2823 W FOUNTAIN BLVD, TAMPA, FL, 336094011, US | |||||||||||||||||||||||
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| Phone | +1 727-269-5618 |
| Fax | 7272653420 |
| Phone | +1 504-722-8772 |
Authorized person
| Name | DR. OLGA KALIEBE |
| Role | OWNER/PRESIDENT |
| Phone | 5047228772 |
Taxonomy
| Taxonomy Code | 207RE0101X - Endocrinology, Diabetes & Metabolism Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 021689100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KALIEBE OLGA MD | Manager | 2823 W FOUNTAIN BLVD, TAMPA, FL, 33609 |
| Kaliebe Olga Dr. | Agent | 2823 W Fountain Blvd, Tampa, FL, 336094011 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-23 | 2919 W Swann Ave, Unit 105B, Tampa, FL 33609 | - |
| REGISTERED AGENT NAME CHANGED | 2022-03-13 | Kaliebe, Olga, Dr. | - |
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-13 | 2823 W Fountain Blvd, Tampa, FL 33609-4011 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-23 |
| ANNUAL REPORT | 2023-02-02 |
| ANNUAL REPORT | 2022-03-13 |
| ANNUAL REPORT | 2021-06-05 |
| Florida Limited Liability | 2020-07-02 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
