| Entity Name: | TAMPA BAY EYE AND FACIAL AESTHETICS, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 07 Apr 2021 (4 years ago) |
| Document Number: | L21000161034 |
| FEI/EIN Number | 86-3438498 |
| Address: | 17734 hunting bow circle, suite 102, lutz, FL 33558 |
| Mail Address: | 17734 HUNTING BOW CIRCLE,, STE 102, LUTZ, FL 33558 |
| ZIP code: | 33558 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073189692 | 2021-06-03 | 2021-06-03 | 17734 HUNTING BOW CIR STE 102, LUTZ, FL, 335585383, US | 17734 HUNTING BOW CIR STE 102, LUTZ, FL, 335585383, US | |||||||||||||||
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| Phone | +1 813-550-2020 |
| Fax | 8136822525 |
Authorized person
| Name | SARA CREEKMORE |
| Role | PRESIDENT |
| Phone | 2762857098 |
Taxonomy
| Taxonomy Code | 207W00000X - Ophthalmology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Creekmore, Sara | Agent | 17734 HUNTING BOW CIRCLE,, STE 102, LUTZ, FL 33558 |
| Name | Role | Address |
|---|---|---|
| CREEKMORE, SARA | Manager | 17734 HUNTING BOW CIRCLE,, SUITE 102 LUTZ, FL 33558 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000119867 | TAMPA BAY AESTHETICS | ACTIVE | 2024-09-24 | 2029-12-31 | No data | 17734 HUNTING BOW CIRCLE SUITE 102, LUTZ, FL, 33558 |
| G24000120162 | TAMPA BAY EYE | ACTIVE | 2024-09-24 | 2029-12-31 | No data | 17734 HUNTING BOW CIRCLE SUITE 102, LUTZ, FL, 33558 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2022-03-20 | Creekmore, Sara | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-20 | 17734 HUNTING BOW CIRCLE,, STE 102, LUTZ, FL 33558 | No data |
| CHANGE OF MAILING ADDRESS | 2021-09-24 | 17734 hunting bow circle, suite 102, lutz, FL 33558 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-06-09 | 17734 hunting bow circle, suite 102, lutz, FL 33558 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-17 |
| ANNUAL REPORT | 2023-02-14 |
| ANNUAL REPORT | 2022-03-20 |
| Florida Limited Liability | 2021-04-07 |
Date of last update: 13 Feb 2025
Sources: Florida Department of State
