| Entity Name: | DSI SOUTH TAMPA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Company |
| Status: | Active |
| Date Filed: | 18 Mar 2005 (20 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 13 Jan 2016 (9 years ago) |
| Document Number: | M05000001467 |
| FEI/EIN Number | 27-0117597 |
| Mail Address: | PO BOX 251549, Plano, TX 75025-1500 |
| Address: | 5851 LEGACY CIRCLE, STE 900, Plano, TX 75024 |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679511729 | 2006-06-02 | 2016-03-29 | 424 CHURCH ST, SUITE 1900, NASHVILLE, TN, 372192301, US | 731 W LUMSDEN RD, BRANDON, FL, 335116261, US | |||||||||||||||||||||||||
|
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| Phone | +1 615-234-1188 |
| Fax | 6152349526 |
| Phone | +1 813-353-8100 |
| Fax | 8133531440 |
Authorized person
| Name | THOMAS L. WEINBERG |
| Role | AUTHORIZED OFFICIAL |
| Phone | 2147362700 |
Taxonomy
| Taxonomy Code | 261QE0700X - End-Stage Renal Disease (ESRD) Treatment Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 004869400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 |
| Name | Role | Address |
|---|---|---|
| Weinberg, Thomas L | Chairman | 5851 LEGACY CIRCLE, STE 900 Plano, TX 75024 |
| Name | Role | Address |
|---|---|---|
| Weinberg, Thomas L | President | 5851 LEGACY CIRCLE, STE 900 Plano, TX 75024 |
| Name | Role | Address |
|---|---|---|
| Weinberg, Thomas L | Manager | 5851 LEGACY CIRCLE, STE 900 Plano, TX 75024 |
| Name | Role | Address |
|---|---|---|
| Hilger , James K | Vice President | 5851 LEGACY CIRCLE, STE 900 Plano, TX 75024 |
| Skowron , Christopher | Vice President | 5851 Legacy Cir, Ste 900 Plano, TX 75024 |
| Name | Role | Address |
|---|---|---|
| Hilger , James K | Treasurer | 5851 LEGACY CIRCLE, STE 900 Plano, TX 75024 |
| Name | Role | Address |
|---|---|---|
| Nottingham, Steven | Secretary | 5851 LEGACY CIRCLE, STE 900 Plano, TX 75024 |
| Name | Role | Address |
|---|---|---|
| Skowron , Christopher | Tax | 5851 Legacy Cir, Ste 900 Plano, TX 75024 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000005401 | U.S. RENAL CARE SOUTH TAMPA DIALYSIS | ACTIVE | 2016-01-14 | 2026-12-31 | No data | 5851 LEGACY CIRCLE, SUITE 900, PLANO, TX, 75024 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2017-03-17 | 5851 LEGACY CIRCLE, STE 900, Plano, TX 75024 | No data |
| CHANGE OF MAILING ADDRESS | 2017-03-17 | 5851 LEGACY CIRCLE, STE 900, Plano, TX 75024 | No data |
| LC STMNT OF RA/RO CHG | 2016-01-13 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2016-01-13 | CT CORPORATION SYSTEM | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-01-13 | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 | No data |
| REINSTATEMENT | 2006-10-18 | No data | No data |
| REVOKED FOR ANNUAL REPORT | 2006-09-15 | No data | No data |
| LC AMENDMENT AND NAME CHANGE | 2006-08-15 | DSI SOUTH TAMPA, LLC | No data |
| LC NAME CHANGE | 2006-03-21 | NRI SOUTH TAMPA, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-18 |
| ANNUAL REPORT | 2023-04-06 |
| ANNUAL REPORT | 2022-04-20 |
| ANNUAL REPORT | 2021-04-14 |
| ANNUAL REPORT | 2020-03-20 |
| ANNUAL REPORT | 2019-04-04 |
| ANNUAL REPORT | 2018-04-28 |
| ANNUAL REPORT | 2017-03-17 |
| ANNUAL REPORT | 2016-03-18 |
| CORLCRACHG | 2016-01-13 |
Date of last update: 04 Jan 2025
Sources: Florida Department of State
