| Entity Name: | IDEAL BODY INSTITUTE TAMPA ASC LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 28 Jun 2021 (4 years ago) |
| Document Number: | L21000298017 |
| FEI/EIN Number | 87-1734580 |
| Address: | 5931 WEBB ROAD, TAMPA, FL, 33615, UN |
| Mail Address: | 5931 WEBB ROAD, TAMPA, FL, 33615, UN |
| ZIP code: | 33615 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144962960 | 2022-04-12 | 2022-04-20 | 367 ATHENS HWY STE 100, LOGANVILLE, GA, 300522207, US | 5931 WEBB RD, TAMPA, FL, 336153219, US | |||||||||||||||||
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| Phone | +1 678-466-6760 |
| Fax | 6788027094 |
| Fax | 6788027042 |
Authorized person
| Name | MR. MAXWELL BEMPAH |
| Role | COO |
| Phone | 6784666760 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BEMPAH MAXWELL K | Agent | 5931 WEBB ROAD, TAMPA, FL, 33615 |
| Name | Role | Address |
|---|---|---|
| BEMPAH MAXWELL K | Chief Operating Officer | 5931 WEBB ROAD, TAMPA, FL, 33615 |
| Name | Role | Address |
|---|---|---|
| POSTOEV ANGELINA MD | Chief Executive Officer | 5931 WEBB ROAD, TAMPA, FL, 33615 |
| Name | Role | Address |
|---|---|---|
| IBIKUNLE CHRISTOPHER | Chief Information Officer | 5931 WEBB ROAD, TAMPA, FL, 33615 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-08 |
| ANNUAL REPORT | 2023-01-27 |
| ANNUAL REPORT | 2022-07-14 |
| Florida Limited Liability | 2021-06-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
