| Entity Name: | TAMPA BAY NEPHROLOGY ASSOCIATES, P.L. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 14 Dec 1998 (26 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 13 Apr 1999 (26 years ago) |
| Document Number: | L98000003173 |
| FEI/EIN Number | 593546330 |
| Address: | 4912 N. ARMENIA AVE, TAMPA, FL, 33603, US |
| Mail Address: | 4912 N. ARMENIA AVE, TAMPA, FL, 33603, US |
| ZIP code: | 33603 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306957899 | 2006-08-31 | 2019-12-20 | 4912 N ARMENIA AVE, TAMPA, FL, 336031402, US | 4912 N ARMENIA AVE, TAMPA, FL, 336031402, US | |||||||||||||||||||||
|
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| Phone | +1 813-353-8775 |
| Fax | 8133533956 |
Authorized person
| Name | GERMAN RAMIREZ |
| Role | PRESIDENT, CEO |
| Phone | 8133538775 |
Taxonomy
| Taxonomy Code | 207RN0300X - Nephrology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 256336300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Bittle Polly | Agent | 4912 N. ARMENIA AVENUE, TAMPA, FL, 33603 |
| Name | Role | Address |
|---|---|---|
| BITTLE POLLY APRN | PRAC | 4912 N. ARMENIA AVE, TAMPA, FL, 33603 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-12-19 | Bittle, Polly | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-01-19 | 4912 N. ARMENIA AVENUE, TAMPA, FL 33603 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-01-01 | 4912 N. ARMENIA AVE, TAMPA, FL 33603 | No data |
| CHANGE OF MAILING ADDRESS | 2020-01-01 | 4912 N. ARMENIA AVE, TAMPA, FL 33603 | No data |
| NAME CHANGE AMENDMENT | 1999-04-13 | TAMPA BAY NEPHROLOGY ASSOCIATES, P.L. | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-12-19 |
| ANNUAL REPORT | 2024-01-19 |
| ANNUAL REPORT | 2023-03-08 |
| ANNUAL REPORT | 2022-01-20 |
| ANNUAL REPORT | 2021-02-08 |
| ANNUAL REPORT | 2020-01-19 |
| ANNUAL REPORT | 2019-01-29 |
| ANNUAL REPORT | 2018-03-14 |
| ANNUAL REPORT | 2017-04-06 |
| ANNUAL REPORT | 2016-03-02 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
