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BAYSIDE MEDICAL GROUP OF FLORIDA LLC - Florida Company Profile

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Company Details

Entity Name: BAYSIDE MEDICAL GROUP OF FLORIDA LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 12 Nov 2021 (4 years ago)
Document Number: L21000488304
FEI/EIN Number 87-3530953
Address: 7918 W. HILLSBOROUGH AVE, TAMPA, FL, 33615
Mail Address: P.O.Box 340396, TAMPA, FL, 33694, US
ZIP code: 33615
City: Tampa
County: Hillsborough
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Leon Roberto Manager 7918 W. Hillsborough Ave, Tampa, FL, 33615
Leon Roberto Agent 7918 W. HILLSBOROUGH AVE, TAMPA, FL, 33615

National Provider Identifier

NPI Number:
1558012211
Certification Date:
2022-11-03

Authorized Person:

Name:
ROBERT LEON
Role:
GENERAL MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
208D00000X - General Practice Physician
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
8136447040

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-01-12 Leon, Roberto -
CHANGE OF MAILING ADDRESS 2022-01-18 7918 W. HILLSBOROUGH AVE, TAMPA, FL 33615 -

Documents

Name Date
ANNUAL REPORT 2024-01-12
ANNUAL REPORT 2023-02-07
ANNUAL REPORT 2022-01-18
Florida Limited Liability 2021-11-12

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Date of last update: 02 Aug 2025

Sources: Florida Department of State