| Entity Name: | TRIUMPH PSYCHIATRY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 13 Jan 2022 (3 years ago) |
| Document Number: | L22000029243 |
| FEI/EIN Number | 87-4689699 |
| Address: | 20314 Heritage Point Drive, Tampa, FL, 33647, US |
| Mail Address: | 20314 Heritage Point Drive, Tampa, FL, 33647, US |
| ZIP code: | 33647 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225785835 | 2022-03-03 | 2022-03-03 | 109 W FORTUNE ST APT 1516, TAMPA, FL, 336023221, US | 109 W FORTUNE ST APT 1516, TAMPA, FL, 336023221, US | |||||||||||||
|
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| Phone | +1 248-881-7971 |
Authorized person
| Name | DR. RODWAN MAHFOUZ |
| Role | AO |
| Phone | 9173009610 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MAHFOUZ RODWAN | Agent | 20314 Heritage Point Drive, Tampa, FL, 33647 |
| Name | Role | Address |
|---|---|---|
| Mahfouz Rodwan | Authorized Member | 20314 Heritage Point Drive, Tampa, FL, 33647 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-28 | 20314 Heritage Point Drive, Tampa, FL 33647 | No data |
| CHANGE OF MAILING ADDRESS | 2024-03-28 | 20314 Heritage Point Drive, Tampa, FL 33647 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-28 | 20314 Heritage Point Drive, Tampa, FL 33647 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-28 |
| ANNUAL REPORT | 2023-04-18 |
| Florida Limited Liability | 2022-01-13 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
