| Entity Name: | TAMPA BAY TOTAL WELLNESS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 08 Jan 2021 (4 years ago) |
| Document Number: | L21000022999 |
| FEI/EIN Number | 86-1708553 |
| Address: | 300 S Hyde Park Avenue Suite 210, Tampa, FL, 33606, US |
| Mail Address: | 300 S Hyde Park Avenue Suite 210, Tampa, FL, 33606, US |
| ZIP code: | 33606 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184370751 | 2022-02-23 | 2022-02-23 | 300 S. HYDE PARK AVENUE SUITE 210, TAMPA, FL, 33606, US | 300 S. HYDE PARK AVENUE SUITE 210, TAMPA, FL, 33606, US | |||||||||||||||
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| Phone | +1 813-609-4150 |
| Fax | 8134418122 |
Authorized person
| Name | TERESA ANN OBERBROECKLING |
| Role | CO-OWNER/PROVIDER |
| Phone | 9376091798 |
Taxonomy
| Taxonomy Code | 363AM0700X - Medical Physician Assistant |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| OBERBROECKLING TERESA A | Agent | 750 DEL ORO DRIVE, SAFETY HARBOR, FL, 34695 |
| Name | Role | Address |
|---|---|---|
| OBERBROECKLING TERESA A | Manager | 750 DEL ORO DRIVE, SAFETY HARBOR, FL, 34695 |
| Oberbroeckling Lawrence DMGR | Manager | 750 Del Oro Dr, Safety Harbor, FL, 34695 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-14 | 300 S Hyde Park Avenue Suite 210, Tampa, FL 33606 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-14 | 300 S Hyde Park Avenue Suite 210, Tampa, FL 33606 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-04-14 | OBERBROECKLING, TERESA A | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-22 |
| ANNUAL REPORT | 2023-01-24 |
| AMENDED ANNUAL REPORT | 2022-11-22 |
| ANNUAL REPORT | 2022-04-14 |
| Florida Limited Liability | 2021-01-08 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
