| Entity Name: | TAMPA MEDICAL CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 24 Feb 2021 (4 years ago) |
| Document Number: | L21000091101 |
| FEI/EIN Number | APPLIED FOR |
| Address: | 5535 Memorial Hwy., Tampa, FL, 33634, US |
| Mail Address: | 5535 Memorial Hwy., Tampa, FL, 33634, US |
| ZIP code: | 33634 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063160174 | 2022-03-17 | 2022-03-17 | 5535 MEMORIAL HWY, TAMPA, FL, 336347332, US | 5535 MEMORIAL HWY, TAMPA, FL, 336347332, US | |||||||||||||
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| Phone | +1 813-474-8342 |
Authorized person
| Name | MRS. NISREEN FERNANDEZ |
| Role | OWNER |
| Phone | 8134748342 |
Taxonomy
| Taxonomy Code | 2086S0122X - Plastic and Reconstructive Surgery Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BURTON ADAM | Agent | 5535 Memorial Hwy., Tampa, FL, 33634 |
| Name | Role | Address |
|---|---|---|
| FERNANDEZ NISREEN A | Authorized Member | 5535 Memorial Hwy., Tampa, FL, 33634 |
| FERNANDEZ JOSE Y | Authorized Member | 5535 Memorial Hwy., Tampa, FL, 33634 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000045312 | BODZE | ACTIVE | 2021-04-02 | 2026-12-31 | No data | 5535 MEMORIAL HIGHWAY, TAMPA, FL, 33634 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-30 | 5535 Memorial Hwy., Tampa, FL 33634 | No data |
| CHANGE OF MAILING ADDRESS | 2024-01-30 | 5535 Memorial Hwy., Tampa, FL 33634 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-30 | 5535 Memorial Hwy., Tampa, FL 33634 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-30 |
| ANNUAL REPORT | 2023-04-03 |
| ANNUAL REPORT | 2022-03-13 |
| Florida Limited Liability | 2021-02-24 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
