Entity Name: | ALLU TAMPA MEDICAL CENTER LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 08 May 2023 (2 years ago) |
Document Number: | L23000226673 |
FEI/EIN Number | 93-2638095 |
Address: | 10549 NORTH FLORIDA, F, TAMPA, FL, 33612 |
Mail Address: | 10549 NORTH FLORIDA, F, TAMPA, FL, 33612 |
ZIP code: | 33612 |
County: | Hillsborough |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1780459719 | 2023-11-20 | 2023-11-20 | 10549 N FLORIDA AVE STE F, TAMPA, FL, 336126707, US | 10549 N FLORIDA AVE STE F, TAMPA, FL, 336126707, US | |||||||||||||||||
|
Phone | +1 786-424-4070 |
Authorized person
Name | ALEJANDRO MARQUEZ PAYNE |
Role | CEO |
Phone | 7864244070 |
Taxonomy
Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
Is Primary | No |
Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
MARQUEZ PAYNE ALEJANDRO | Agent | 10549 NORTH FLORIDA, TAMPA, FL, 33612 |
Name | Role | Address |
---|---|---|
MARQUEZ PAYNE ALEJANDRO | President | 10549 NORTH FLORIDA SUIT F, TAMPA, FL, 33612 |
Name | Date |
---|---|
ANNUAL REPORT | 2024-03-28 |
Florida Limited Liability | 2023-05-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State