| Entity Name: | TAMPA BAY CONCIERGE DOCTOR, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 09 Aug 2022 (2 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 18 Oct 2024 (4 months ago) |
| Document Number: | L22000348262 |
| FEI/EIN Number | NOT APPLICABLE |
| Address: | 105 W. DAVIS BOULEVARD, TAMPA, FL, 33606, US |
| Mail Address: | 105 W. DAVIS BOULEVARD, TAMPA, FL, 33606, US |
| ZIP code: | 33606 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093210387 | 2018-03-28 | 2022-12-11 | 201 E KENNEDY BLVD STE 415, TAMPA, FL, 336025823, US | 201 E KENNEDY BLVD STE 415, TAMPA, FL, 336025823, US | |||||||||||||||||||||||
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| Phone | +1 813-773-6715 |
| Fax | 8137736716 |
Authorized person
| Name | DR. KHALID SAEED |
| Role | AUTHORIZED INDIVIDUAL |
| Phone | 8137736715 |
Taxonomy
| Taxonomy Code | 207P00000X - Emergency Medicine Physician |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Nensey Zain | Agent | 101 E. KENNEDY BLVD., STE. 2800, TAMPA, FL, 33602 |
| Name | Role | Address |
|---|---|---|
| Mozas Luis H | Auth | 105 W. DAVIS BOULEVARD, TAMPA, FL, 33606 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2024-10-18 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2024-10-18 | Nensey, Zain | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| LC NAME CHANGE | 2022-12-09 | TAMPA BAY CONCIERGE DOCTOR, LLC | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2024-10-18 |
| ANNUAL REPORT | 2023-04-18 |
| LC Name Change | 2022-12-09 |
| Florida Limited Liability | 2022-08-09 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
