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TAMPA FAMILY SPECIALTY SERVICES, LLC - Florida Company Profile

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Company Details

Entity Name: TAMPA FAMILY SPECIALTY SERVICES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 17 Apr 2024 (a year ago)
Last Event: LC AMENDMENT
Event Date Filed: 18 Sep 2024 (a year ago)
Document Number: L24000181303
FEI/EIN Number 992097225
Address: 302 W FLETCHER AVE, TAMPA, FL, 33612, US
Mail Address: 302 W Fletcher Avenue, TAMPA, FL, 33612, US
ZIP code: 33612
City: Tampa
County: Hillsborough
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
HOBACK SHERRY Chief Executive Officer 302 W FLETCHER AVE, TAMPA, FL, 33612
WILLIAMS-BURGESS ASHAKI Chief Operating Officer 302 W FLETCHER AVE, TAMPA, FL, 33612
Judy Delayna Chief Financial Officer 302 W FLETCHER AVE, TAMPA, FL, 33612
Williams-Burgess Ashaki L Agent 302 W FLETCHER AVE, TAMPA, FL, 33612

National Provider Identifier

NPI Number:
1134943657
Certification Date:
2024-11-22

Authorized Person:

Name:
CHELSEY L BIBEAU
Role:
PROJECT DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
LC AMENDMENT 2025-01-30 - -
CHANGE OF MAILING ADDRESS 2025-01-27 302 W FLETCHER AVE, TAMPA, FL 33612 -
CHANGE OF MAILING ADDRESS 2024-09-24 302 W FLETCHER AVE, TAMPA, FL 33612 -
LC AMENDMENT 2024-09-18 - -
LC NAME CHANGE 2024-08-07 TAMPA FAMILY SPECIALTY SERVICES, LLC -

Documents

Name Date
LC Amendment 2024-09-18
LC Name Change 2024-08-07
Florida Limited Liability 2024-04-17

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Date of last update: 02 Aug 2025

Sources: Florida Department of State