| Entity Name: | NORTH TAMPA EXECUTIVE HEALTH, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 29 Jul 2022 (3 years ago) |
| Document Number: | L22000336401 |
| FEI/EIN Number | 883538353 |
| Address: | 3500 E Fletcher Ave, Tampa, FL, 33613, US |
| Mail Address: | 3500 E Fletcher Ave, Tampa, FL, 33613, US |
| ZIP code: | 33613 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144924754 | 2023-03-28 | 2023-03-28 | 1204 S BROAD ST # 192, BROOKSVILLE, FL, 346013132, US | 3500 E FLETCHER AVE STE 201, TAMPA, FL, 336134795, US | |||||||||||||||
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| Phone | +1 352-410-2595 |
| Phone | +1 813-753-8836 |
Authorized person
| Name | DR. JACK MCGEACHY |
| Role | MANAGER |
| Phone | 8139977942 |
Taxonomy
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| FLP RA SERVICES LLC | Agent |
| Name | Role | Address |
|---|---|---|
| JACK C MCGEACHY | Manager | 1204 SOUTH BROAD ST #192, BROOKSVILLE, FL, 34601 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-07-12 | 3500 E Fletcher Ave, STE 201, Tampa, FL 33613 | No data |
| CHANGE OF MAILING ADDRESS | 2023-07-12 | 3500 E Fletcher Ave, STE 201, Tampa, FL 33613 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-27 |
| ANNUAL REPORT | 2023-01-11 |
| Florida Limited Liability | 2022-07-29 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
