| Entity Name: | ADVANCED MEDICAL OF TAMPA BAY, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 19 Oct 2022 (2 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 28 Sep 2023 (a year ago) |
| Document Number: | L22000450135 |
| FEI/EIN Number | 92-0988902 |
| Mail Address: | 36181 EASTLAKE ROAD, SUITE 185, PALM HARBOR, FL 34685 UN |
| Address: | 15619 PREMIERE DRIVE, SUITE 204, TAMPA, FL 33624 UN |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033821061 | 2022-12-21 | 2022-12-21 | 36181 EASTLAKE ROAD, SUITE 185, PALM HARBOR, FL, 34685, US | 15619 PREMIERE BLVD., SUITE 204, TAMPA, FL, 33624, US | |||||||||||||||
|
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| Phone | +1 727-787-2158 |
| Phone | +1 727-396-4188 |
Authorized person
| Name | GARY JOSEPH BARBOSA |
| Role | OWNER |
| Phone | 7277872158 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Mohip, Aminie, Esq. | Agent | 3637 4TH STREET NORTH, SUITE 103, ST. PETERSBURG, FL 33704 |
| Name | Role | Address |
|---|---|---|
| BARBOSA, GARY J | Manager | 36181 EASTLAKE ROAD, SUITE 185, PALM HARBOR, FL 34685 UN |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2023-09-28 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2023-09-28 | Mohip, Aminie, Esq. | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-02 |
| REINSTATEMENT | 2023-09-28 |
| Florida Limited Liability | 2022-10-19 |
Date of last update: 11 Jan 2025
Sources: Florida Department of State
