| Entity Name: | MINIMALLY INVASIVE SURGICAL AFFILIATES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 02 Nov 2020 (4 years ago) |
| Document Number: | L20000347691 |
| FEI/EIN Number | 85-3923473 |
| Address: | 2715 NORTH MACDILL AVE, TAMPA, FL, 33607, US |
| Mail Address: | 2715 NORTH MACDILL AVE, TAMPA, FL, 33607, US |
| ZIP code: | 33607 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164010187 | 2021-01-05 | 2021-01-05 | PO BOX 4706, TAMPA, FL, 336774706, US | 2715 N MACDILL AVE, TAMPA, FL, 336072205, US | |||||||||||||||||||
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| Phone | +1 813-280-0202 |
| Fax | 8132800203 |
Authorized person
| Name | TALAL HAMDAN |
| Role | OWNER |
| Phone | 8132800202 |
Taxonomy
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PENDING |
| Number | PENDING |
| Name | Role | Address |
|---|---|---|
| HAMDAN TALAL | Agent | 3923 W GRAY STREET, TAMPA, FL, 33609 |
| Name | Role | Address |
|---|---|---|
| Hamdan Talal | Member | 2715 NORTH MACDILL AVE, TAMPA, FL, 33607 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-02 | 3923 W GRAY STREET, TAMPA, FL 33609 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-02 |
| ANNUAL REPORT | 2023-01-21 |
| ANNUAL REPORT | 2022-01-27 |
| ANNUAL REPORT | 2021-02-01 |
| Florida Limited Liability | 2020-11-02 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
