| Entity Name: | TAMPA ENDOCRINOLOGY INSTITUTE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 07 Nov 2022 (2 years ago) |
| Document Number: | L22000478191 |
| FEI/EIN Number | 921032382 |
| Address: | 2111 W Swann Ave, TAMPA, FL, 33606, US |
| Mail Address: | 2111 W Swann Ave, TAMPA, FL, 33606, US |
| ZIP code: | 33606 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326740937 | 2023-03-20 | 2024-03-27 | 57 AEGEAN AVE, TAMPA, FL, 336063342, US | 2111 W SWANN AVE STE 204, TAMPA, FL, 336062478, US | |||||||||||||||||
|
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| Phone | +1 813-360-1214 |
Authorized person
| Name | ASMA AL-ZOUGBI |
| Role | OWNER |
| Phone | 8133354939 |
Taxonomy
| Taxonomy Code | 207RE0101X - Endocrinology, Diabetes & Metabolism Physician |
| Is Primary | Yes |
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| AL-ZOUGBI ASMA | Agent | 2111 W Swann Ave, TAMPA, FL, 33606 |
| Name | Role | Address |
|---|---|---|
| AL-ZOUGBI ASMA | Auth | 2111 W Swann Ave, TAMPA, FL, 33606 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-06 | 2111 W Swann Ave, Suite 204, TAMPA, FL 33606 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-06 | 2111 W Swann Ave, Suite 204, TAMPA, FL 33606 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-06 | 2111 W Swann Ave, Suite 204, TAMPA, FL 33606 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| Florida Limited Liability | 2022-11-07 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
