| Entity Name: | TAMPA PHYSICIANS GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 19 Sep 2011 (13 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | REVOKED FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | M11000004737 |
| FEI/EIN Number | 45-3193187 |
| Address: | 6709 RIDGE RAOD, PORT RICHEY, FL 34668 |
| Mail Address: | 6709 RIDGE RAOD, PORT RICHEY, FL 34668 |
| ZIP code: | 34668 |
| County: | Pasco |
| Place of Formation: | GEORGIA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316229545 | 2011-09-14 | 2011-09-14 | 2643 CALDWELL RD NE, ATLANTA, GA, 303193118, US | 6709 RIDGE RD, PORT RICHEY, FL, 346686834, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 832-236-2090 |
Authorized person
| Name | DR. RAKESH KOTHARI |
| Role | CEO |
| Phone | 8322362090 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME 105419 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ESPOSITO, ANTHONY | Agent | 7113 CONDOR COURT, NEW PORT RICHEY, FL 34655-4001 |
| Name | Role | Address |
|---|---|---|
| SOUTH ATLANTA MEDICAL GROUP, INC. | Manager | 2643 CALDWELL ROAD NE, ATLANTA, GA 30319 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REVOKED FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| Name | Date |
|---|---|
| Foreign Limited | 2011-09-19 |
Date of last update: 24 Jan 2025
Sources: Florida Department of State
