| Entity Name: | MIDTOWN COMMUNITY HEALTH CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 24 Aug 2020 (4 years ago) |
| Document Number: | L20000260684 |
| FEI/EIN Number | APPLIED FOR |
| Address: | 4728 N HABANA AVENUE, TAMPA, FL, 33614, US |
| Mail Address: | 4728 N HABANA AVE SUITE 100A, TAMPA, FL, 33614, US |
| ZIP code: | 33614 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528674447 | 2020-09-16 | 2024-10-31 | 4728 N HABANA AVE # 100A, TAMPA, FL, 336147100, US | 4728 N HABANA AVE # 100A, TAMPA, FL, 336147100, US | |||||||||||||||||||||||
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| Phone | +1 813-536-7291 |
| Fax | 8135367293 |
Authorized person
| Name | WALE JULIUS |
| Role | OWNER |
| Phone | 8135367291 |
Taxonomy
| Taxonomy Code | 183500000X - Pharmacist |
| Is Primary | No |
| Taxonomy Code | 2084B0040X - Behavioral Neurology & Neuropsychiatry Physician |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JULIUS WALE | Agent | 4728 N HABANA AVE, TAMPA, FL, 33614 |
| Name | Role | Address |
|---|---|---|
| JULIUS WALE | Manager | 4728 N HABANA AVE, TAMPA, FL, 33614 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000073860 | ALL CARE PHARMACY | ACTIVE | 2023-06-19 | 2028-12-31 | No data | 4728 N HABANA AVE SUITE, SUITE 100A, TAMPA, FL, 33614 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-26 | 4728 N HABANA AVENUE, SUITE 100A, TAMPA, FL 33614 | No data |
| CHANGE OF MAILING ADDRESS | 2023-01-26 | 4728 N HABANA AVENUE, SUITE 100A, TAMPA, FL 33614 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-26 | 4728 N HABANA AVE, SUITE 100A, TAMPA, FL 33614 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-01-26 |
| ANNUAL REPORT | 2022-02-10 |
| ANNUAL REPORT | 2021-01-31 |
| Florida Limited Liability | 2020-08-24 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
