| Entity Name: | SOPHROS RECOVERY TAMPA LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 06 Jul 2023 (2 years ago) |
| Document Number: | L23000319084 |
| FEI/EIN Number | 932308811 |
| Address: | 10500 UNIVERSITY BUSINESS CENTER DRIVE, STE 215, TAMPA, FL, 33612, US |
| Mail Address: | 10500 UNIVERSITY BUSINESS CENTER DRIVE, STE 215, TAMPA, FL, 33612, US |
| ZIP code: | 33612 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306629761 | 2023-08-17 | 2023-08-17 | 2511 SAINT JOHNS BLUFF RD S STE 106, JACKSONVILLE, FL, 322462344, US | 10500 UNIVERSITY CENTER DR STE 215, TAMPA, FL, 336126490, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 904-440-1479 |
Authorized person
| Name | JOHN KEMERER |
| Role | MEDICAL DIRECTOR |
| Phone | 8083883916 |
Taxonomy
| Taxonomy Code | 324500000X - Substance Abuse Rehabilitation Facility |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BIRCH ADAM DESQ. | Agent | 200 Central Avenue, St. Petersburg, FL, 33701 |
| Name | Role | Address |
|---|---|---|
| PADLO NICHOLAS | Manager | 13832 ADMIRALS BEND DRIVE, JACKSONVILLE, FL, 32225 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-05-01 | 200 Central Avenue, 4th Floor, St. Petersburg, FL 33701 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| Florida Limited Liability | 2023-07-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
