Entity Name: | HOSPITALIST SERVICES OF AMERICA, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 03 Dec 2021 (3 years ago) |
Document Number: | L21000512612 |
FEI/EIN Number | 87-3891110 |
Address: | 4101 36TH AVENUE NORTH, ST. PETERSBURG, FL, 33713 |
Mail Address: | 4101 36th Avenue North, ST. PETERSBURG, FL, 33713, US |
ZIP code: | 33713 |
County: | Pinellas |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1821757360 | 2021-12-13 | 2021-12-13 | 76 4TH ST N, PO BOX 771, SAINT PETERSBURG, FL, 337013828, US | 4101 36TH AVE N, SAINT PETERSBURG, FL, 337131222, US | |||||||||||||
|
Phone | +1 727-557-7297 |
Authorized person
Name | JARED PIENIAZEK |
Role | PRESIDENT |
Phone | 7275577297 |
Taxonomy
Taxonomy Code | 207R00000X - Internal Medicine Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
PIENIAZEK JARED M | Agent | 4101 36TH AVENUE NORTH, ST. PETERSBURG, FL, 33713 |
Name | Role | Address |
---|---|---|
PIENIAZEK JARED M | Manager | 4101 36TH AVENUE NORTH, ST. PETERSBURG, FL, 33713 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF MAILING ADDRESS | 2023-01-28 | 4101 36TH AVENUE NORTH, ST. PETERSBURG, FL 33713 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-01-26 |
ANNUAL REPORT | 2023-01-28 |
ANNUAL REPORT | 2022-01-21 |
Florida Limited Liability | 2021-12-03 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State