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ACCESS MEDICAL GROUP OF TAMPA, LLC - Florida Company Profile

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Company Details

Entity Name: ACCESS MEDICAL GROUP OF TAMPA, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 20 Nov 2020 (5 years ago)
Last Event: CONVERSION
Event Date Filed: 20 Nov 2020 (5 years ago)
Document Number: L20000358657
FEI/EIN Number 821737078
Address: 6100 BLUE LAGOON DRIVE, STE. 365, MIAMI, FL, 33126, US
Mail Address: 7700 FORSYTH BLVD., ST. LOUIS, MO, 63105, US
ZIP code: 33126
City: Miami
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
- Agent -
KOSTER CHRISTOPHER A Manager 7700 FORSYTH BLVD., ST. LOUIS, MO, 63105
CHERVITZ CHUCK Manager 7700 FORSYTH BLVD., ST. LOUIS, MO, 63105
Dinkelman Tricia Vice President 7700 FORSYTH BLVD., ST. LOUIS, MO, 63105
Ramirez Rayny President 6100 BLUE LAGOON DRIVE, STE. 365, MIAMI, FL, 33126
Majors Richard Vice President 6100 BLUE LAGOON DRIVE, STE. 365, MIAMI, FL, 33126
Baiocchi Sarah A Vice President 7700 FORSYTH BLVD., ST. LOUIS, MO, 63105

National Provider Identifier

NPI Number:
1942710793
Certification Date:
2023-05-25

Authorized Person:

Name:
MR. RAYNY RAMIREZ
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
7863227329
Fax:
8134131966

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000012899 COMMUNITY MEDICAL GROUP ACTIVE 2021-01-28 2026-12-31 - 6100 BLUE LAGOON DR., STE 365, MIAMI, FL, 33126

Events

Event Type Filed Date Value Description
CONVERSION 2020-11-20 - CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS P17000048565. CONVERSION NUMBER 900000207409

Documents

Name Date
ANNUAL REPORT 2024-04-29
AMENDED ANNUAL REPORT 2023-05-23
ANNUAL REPORT 2023-05-01
ANNUAL REPORT 2022-02-07
ANNUAL REPORT 2021-04-26
Florida Limited Liability 2020-11-20

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Date of last update: 03 Jul 2025

Sources: Florida Department of State