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OMNI INTEGRATIVE MEDICINE OF TAMPA PLLC - Florida Company Profile

Company Details

Entity Name: OMNI INTEGRATIVE MEDICINE OF TAMPA PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

OMNI INTEGRATIVE MEDICINE OF TAMPA 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.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

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: 26 May 2022 (3 years ago)
Date of dissolution: 27 Sep 2024 (7 months ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2024 (7 months ago)
Document Number: L22000230636
FEI/EIN Number 88-2501239

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 10933 COUNTRYWAY BLVD, TAMPA, FL, 33626
Mail Address: 10933 COUNTRYWAY BLVD, TAMPA, FL, 33626
ZIP code: 33626
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1225743917 2023-01-18 2023-01-18 10933 COUNTRYWAY BLVD, TAMPA, FL, 336262630, US 10933 COUNTRYWAY BLVD, TAMPA, FL, 336262630, US

Contacts

Phone +1 813-568-1131

Authorized person

Name DR. ROBERT RAOUF ABRAHAM
Role OWNER
Phone 3212173986

Taxonomy

Taxonomy Code 261QM1300X - Multi-Specialty Clinic/Center
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
OMNI INTEGRATIVE MEDICINE OF TAMPA PLLC 401(K) PLAN 2023 882501239 2024-05-20 OMNI INTEGRATIVE MEDICINE OF TAMPA PLLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2023-01-01
Business code 621111
Sponsor’s telephone number 8135681131
Plan sponsor’s address 10933 COUNTRYWAY BLVD, TAMPA, FL, 33626

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2024-05-20
Name of individual signing QIAN LIU
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
X LLC Agent -
Abraham Robert Chief Executive Officer 10933 COUNTRYWAY BLVD, TAMPA, FL, 33626

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000082751 NEXTGEN MEDICAL ACTIVE 2023-07-13 2028-12-31 - 333 S GARLAND AVE, FLOOR 13, ORLANDO, FL, 32801
G23000001208 NEXTGEN MEDICAL ACTIVE 2023-01-04 2028-12-31 - 10933 COUNTRYWAY BLVD, TAMPA, FL, 33626

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2024-09-27 - -
REINSTATEMENT 2023-11-08 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 - -

Documents

Name Date
Reg. Agent Resignation 2024-02-01
REINSTATEMENT 2023-11-08
Florida Limited Liability 2022-05-26

Date of last update: 02 Apr 2025

Sources: Florida Department of State