| Entity Name: | HOUSE OF ATHLETE TAMPA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 23 Jul 2021 (4 years ago) |
| Document Number: | L21000336807 |
| FEI/EIN Number | 87-2931741 |
| Mail Address: | 1495 N PARK DR, WESTON, FL 33326 |
| Address: | 6912 ASPHALT AVE, TAMPA, FL 33614 |
| ZIP code: | 33614 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851022933 | 2022-06-21 | 2022-06-21 | 6912 ASPHALT AVE, TAMPA, FL, 336143625, US | 6912 ASPHALT AVE, TAMPA, FL, 336143625, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 262-488-0118 |
Authorized person
| Name | VALERIE MCKAY |
| Role | CREDENTIALING SPECIALIST |
| Phone | 8136019036 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Bumbrey, Doris | Agent | 1495 N PARK DR, WESTON, FL 33326 |
| Name | Role | Address |
|---|---|---|
| HOUSE OF ATHLETE B&M, LLC | Manager | 1495 N PARK DR, WESTON, FL 33326 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-04-27 | Bumbrey, Doris | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-27 | 1495 N PARK DR, WESTON, FL 33326 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-03 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-08-12 |
| Florida Limited Liability | 2021-07-23 |
Date of last update: 14 Jan 2025
Sources: Florida Department of State
