| Entity Name: | TAMPA BAY PRIMARY CARE ASSOCIATES, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Company
TAMPA BAY PRIMARY CARE ASSOCIATES, PLLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 17 Dec 2021 (3 years ago) |
| Date of dissolution: | 20 Sep 2024 (5 months ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 20 Sep 2024 (5 months ago) |
| Document Number: | L21000531031 |
| FEI/EIN Number |
87-4105717
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 320 W. Fletcher Ave Ste 106, Tampa, FL 33612 |
| Mail Address: | 320 W. Fletcher Ave Ste 106, Tampa, FL 33612 |
| ZIP code: | 33612 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164173027 | 2022-01-12 | 2023-10-05 | 320 W FLETCHER AVE STE 106, TAMPA, FL, 336123400, US | 320 W FLETCHER AVE STE 106, TAMPA, FL, 336123400, US | |||||||||||||||||||||
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| Phone | +1 813-252-6114 |
| Fax | 8135661781 |
Authorized person
| Name | LEWIS JACKSON BARWICK |
| Role | CO-OWNER |
| Phone | 8132526114 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 113298500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BARWICK, LEWIS | Agent | 408 ISLAND RD, TEMPLE TERRACE, FL 33617 |
| TORRES-PEREZ, WILLIAM | Authorized Member | 408 ISLAND RD, TEMPLE TERRACE, FL 33617 |
| BARWICK, LEWIS | Authorized Member | 408 ISLAND RD, TEMPLE TERRACE, FL 33617 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2024-09-20 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2022-11-15 | 320 W. Fletcher Ave Ste 106, Tampa, FL 33612 | - |
| CHANGE OF MAILING ADDRESS | 2022-11-15 | 320 W. Fletcher Ave Ste 106, Tampa, FL 33612 | - |
| Name | Date |
|---|---|
| LC Voluntary Dissolution | 2024-09-20 |
| ANNUAL REPORT | 2024-01-24 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-03-14 |
| Florida Limited Liability | 2021-12-17 |
Date of last update: 12 Feb 2025
Sources: Florida Department of State
