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FAMILY RESIDENCES OF TAMPA, INC

Company Details

Entity Name: FAMILY RESIDENCES OF TAMPA, INC
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Inactive
Date Filed: 30 Jul 2012 (13 years ago)
Date of dissolution: 25 Sep 2015 (9 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2015 (9 years ago)
Document Number: N12000007352
FEI/EIN Number 46-0966570
Address: 14508 MIDLAND GREENS PL, TAMPA, FL, 33625
Mail Address: 14508 MIDLAND GREENS PL, TAMPA, FL, 33625
ZIP code: 33625
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1598190092 2013-09-04 2013-09-04 14508 MIDLAND GREENS PL, TAMPA, FL, 336253348, US 14508 MIDLAND GREENS PL, TAMPA, FL, 336253348, US

Contacts

Phone +1 813-374-6121
Fax 8133746121

Authorized person

Name MR. DAVE R FORD SR.
Role PRESIDENT
Phone 8133746121

Taxonomy

Taxonomy Code 320600000X - Intellectual and/or Developmental Disabilities Residential Treatment Facility
State FL
Is Primary Yes

Agent

Name Role Address
FORD DAVE Agent 14508 MIDLAND GREENS PL, TAMPA, FL, 33625

President

Name Role Address
FORD DAVE R President 14508 MIDLAND GREENS PL, TAMPA, FL, 33625

Vice President

Name Role Address
RICHARDS ROSETA Vice President 14508 MIDLAND GREENS PL, TAMPA, FL, 33625

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G14000017372 INCOME TAX SERVICE BY DAVE R FORD EXPIRED 2014-02-19 2019-12-31 No data 14508 MIDLAND GREENS PL., TAMPA, FL, 33625

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2015-09-25 No data No data

Documents

Name Date
ANNUAL REPORT 2014-04-30
ANNUAL REPORT 2013-04-24
Domestic Non-Profit 2012-07-30

Date of last update: 01 Feb 2025

Sources: Florida Department of State