| Entity Name: | TAMPA ORTHOPAEDIC & SPORTS MEDICINE GROUP, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 12 Dec 2023 (a year ago) |
| Last Event: | CONVERSION |
| Event Date Filed: | 12 Dec 2023 (a year ago) |
| Document Number: | L23000556439 |
| FEI/EIN Number | 59-1295027 |
| Address: | 602 SOUTH HOWARD AVENUE, TAMPA, FL 33606 |
| Mail Address: | 602 SOUTH HOWARD AVENUE, TAMPA, FL 33606 |
| ZIP code: | 33606 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124407333 | 2015-05-20 | 2015-05-20 | 602 S HOWARD AVE, TAMPA, FL, 336062413, US | 602 S HOWARD AVE, TAMPA, FL, 336062413, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 813-253-2406 |
| Fax | 8132514290 |
Authorized person
| Name | DANIEL MURPHY |
| Role | DISPENSING PRACTITONER |
| Phone | 8132532406 |
Taxonomy
| Taxonomy Code | 332900000X - Non-Pharmacy Dispensing Site |
| License Number | ME0067644 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GASSMAN, ALAN S, ESQ. | Agent | 1245 COURT STREET, CLEARWATER, FL 33756 |
| Name | Role | Address |
|---|---|---|
| MURPHY, DANIEL E, M.D. | Manager | 4215 WEST SYLVAN RAMBLE ST., TAMPA, FL 33609 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CONVERSION | 2023-12-12 | No data | CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS 602019. CONVERSION NUMBER 100000247951 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-13 |
| Florida Limited Liability | 2023-12-12 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
