| Entity Name: | DTSP PRIMARY CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 27 Jun 2022 (3 years ago) |
| Date of dissolution: | 14 Nov 2022 (2 years ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 14 Nov 2022 (2 years ago) |
| Document Number: | L22000288295 |
| Address: | 175 2ND STREET SOUTH, 1001, SAINT PETERSBURG, FL, 33701, US |
| Mail Address: | 175 2ND STREET SOUTH, 1001, SAINT PETERSBURG, FL, 33701, US |
| ZIP code: | 33701 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497487045 | 2022-06-30 | 2022-06-30 | 175 2ND ST S APT 1001, SAINT PETERSBURG, FL, 337014319, US | 175 2ND ST S APT 1001, SAINT PETERSBURG, FL, 337014319, US | |||||||||||||||
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| Phone | +1 727-210-5823 |
| Fax | 8176123416 |
Authorized person
| Name | DR. JENNIFER MARY SENIOR |
| Role | NURSE PRACTITIONER |
| Phone | 7272105623 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SENIOR JENNIFER | Agent | 175 2ND STREET SOUTH, SAINT PETERSBURG, FL, 33701 |
| Name | Role | Address |
|---|---|---|
| SENIOR JENNIFER | Chief Executive Officer | 175 2ND STREET SOUTH 1001, SAINT PETERSBURG, FL, 33701 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-02-01 | 175 2ND STREET SOUTH, 1001, SAINT PETERSBURG, FL 33701 | No data |
| CHANGE OF MAILING ADDRESS | 2025-02-01 | 175 2ND STREET SOUTH, 1001, SAINT PETERSBURG, FL 33701 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-01 | 175 2ND STREET SOUTH, 1001, SAINT PETERSBURG, FL 33701 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-01 | 175 2ND STREET SOUTH, 1001, SAINT PETERSBURG, FL 33701 | No data |
| LC VOLUNTARY DISSOLUTION | 2022-11-14 | No data | No data |
| Name | Date |
|---|---|
| LC Voluntary Dissolution | 2022-11-14 |
| Florida Limited Liability | 2022-06-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
