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PERFORMANCE HEALTH CLINICS OF TAMPA, LLC

Company Details

Entity Name: PERFORMANCE HEALTH CLINICS OF TAMPA, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 06 Jul 2021 (4 years ago)
Document Number: L21000308970
FEI/EIN Number 87-1533283
Address: 3825 Henderson Blvd, Tampa, FL, 33629, US
Mail Address: 3825 Henderson Blvd, Tampa, FL, 33629, US
ZIP code: 33629
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1225609803 2021-07-06 2022-12-21 3825 HENDERSON BLVD STE 307, TAMPA, FL, 336295021, US 3825 HENDERSON BLVD STE 307, TAMPA, FL, 336295021, US

Contacts

Phone +1 888-926-1223
Fax 2019629068

Authorized person

Name DR. GREGORY BOBAL
Role MANAGING PARTNER
Phone 6102485273

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
Is Primary Yes

Agent

Name Role Address
Bobal Gregory Agent 3825 Henderson Blvd, Tampa, FL, 33629

Clin

Name Role Address
Bobal Gregory Clin 4436 West Trilby Ave, Tampa, FL, 33616

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-04-19 3825 Henderson Blvd, Suite 307, Tampa, FL 33629 No data
CHANGE OF MAILING ADDRESS 2022-04-19 3825 Henderson Blvd, Suite 307, Tampa, FL 33629 No data
REGISTERED AGENT NAME CHANGED 2022-04-19 Bobal, Gregory No data
REGISTERED AGENT ADDRESS CHANGED 2022-04-19 3825 Henderson Blvd, Suite 307, Tampa, FL 33629 No data

Documents

Name Date
ANNUAL REPORT 2024-01-20
ANNUAL REPORT 2023-01-27
ANNUAL REPORT 2022-04-19
Florida Limited Liability 2021-07-06

Date of last update: 01 Feb 2025

Sources: Florida Department of State