TAMPA GENERAL PROVIDER NETWORK, INC. - Florida Company Profile

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Company Details

Entity Name:	TAMPA GENERAL PROVIDER NETWORK, INC.
Jurisdiction:	FLORIDA
Filing Type:	Domestic Non-Profit
Status:	Active
Date Filed:	14 Dec 2020 (5 years ago)
Document Number:	N20000013762
FEI/EIN Number	86-1810505
Address:	4620 PGA Blvd, Palm Beach Gardens, FL, 33418, US
Mail Address:	Attn: HIM/Release of Information, P. O. Box 1289, Tampa, FL, 33601, US
ZIP code:	33418
City:	Palm Beach Gardens
County:	Palm Beach
Place of Formation:	FLORIDA

Key Officers & Management

Name	Role	Address
SCHWARZBERG ABRAHAM MD	President	ONE TAMPA GENERAL CIR, TAMPA, FL, 336063571
BRANDT STACEY	Director	ONE TAMPA GENERAL CIR, TAMPA, FL, 336063571
RUNYON MARK	Director	ONE TAMPA GENERAL CIR, TAMPA, FL, 336063571
COURIS JOHN MD	Chairman	ONE TAMPA GENERAL CIR, TAMPA, FL, 336063571
SMITH ADAM	Director	ONE TAMPA GENERAL CIR, TAMPA, FL, 336063571
PUGH JENNIFER	Treasurer	ONE TAMPA GENERAL CIR, TAMPA, FL, 336063571
-	Agent	-

National Provider Identifier

NPI Number:

1871320408

Certification Date:

2024-09-17

Link:

View on NPI website

Authorized Person:

Name:

ABRAHAM B SCHWARZBERG

Role:

PRESIDENT

Phone:

5612533980

Taxonomy:

Selected Taxonomy:

207RG0100X - Gastroenterology Physician

Is Primary:

Yes

Contacts:

Phone:

+1 561-659-6543

Fax:

5616593533

Fictitious Names

Registration Number	Fictitious Name	Status	Filed Date	Expiration Date	Cancellation Date	Mailing Address
G25000018070	TAMPA GENERAL HOSPITAL ADVANCED PULMONARY & SLEEP MEDICINE	ACTIVE	2025-02-06	2030-12-31	-	500 UNIVERSITY BLVD., SUITE 211, JUPITER, FL, 33458
G25000018075	TAMPA GENERAL HOSPITAL ADVANCED UROLOGY CARE	ACTIVE	2025-02-06	2030-12-31	-	221 GREENWICH CIRCLE, SUITE 107, JUPITER, FL, 33458
G24000077466	TAMPA GENERAL HOSPITAL PULMONARY CARE & SLEEP INSTITUTE	ACTIVE	2024-06-25	2029-12-31	-	5401 S. CONGRESS AVENUE, SUITE 204, ATLANTIS, FL, 33462
G24000077446	TGH UROLOGY GROUP OF FLORIDA	ACTIVE	2024-06-25	2029-12-31	-	4889 S. CONGRESS AVENUE, FIRST FLOOR, LAKE WORTH, FL, 33461
G24000077448	TGH UROLOGY GROUP OF FLORIDA	ACTIVE	2024-06-25	2029-12-31	-	3399 PGA BLVD., SUITE 220, PALM BEACH GARDENS, FL, 33410
G24000077449	TGH UROLOGY GROUP OF FLORIDA	ACTIVE	2024-06-25	2029-12-31	-	5350 W. ATLANTIC AVENUE, SUITE 102, DELRAY BEACH, FL, 33484
G24000077457	TAMPA GENERAL HOSPITAL PCSI PULMONARY CARE & SLEEP INSTITUTE	ACTIVE	2024-06-25	2029-12-31	-	5401 S. CONGRESS AVENUE, SUITE 204, ATLANTIS, FL, 33462
G24000077455	TGH PCSI PULMONARY CARE & SLEEP INSTITUTE	ACTIVE	2024-06-25	2029-12-31	-	5401 S. CONGRESS AVENUE, SUITE 204, ATLANTIS, FL, 33462
G24000077460	TAMPA GENERAL HOSPITAL PCSI	ACTIVE	2024-06-25	2029-12-31	-	5401 S. CONGRESS AVENUE, SUITE 204, ATLANTIS, FL, 33462
G24000077463	TGH PCSI	ACTIVE	2024-06-25	2029-12-31	-	5401 S. CONGRESS AVENUE, SUITE 204, ATLANTIS, FL, 33462

Events

Event Type	Filed Date	Value	Description
CHANGE OF MAILING ADDRESS	2024-12-12	4620 PGA Blvd, Suite 101, Palm Beach Gardens, FL 33418	-
CHANGE OF PRINCIPAL ADDRESS	2024-11-25	4620 PGA Blvd, Suite 101, Palm Beach Gardens, FL 33418	-

Documents

Name	Date
ANNUAL REPORT	2024-01-24
ANNUAL REPORT	2023-05-01
ANNUAL REPORT	2022-04-30
ANNUAL REPORT	2021-04-27
Domestic Non-Profit	2020-12-14

Tax Exempt

Employer Identification Number (EIN) :

86-1810505

Classification:

Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)

Ruling Date:

2023-03

National Taxonomy Of Exempt Entities:

Health Care: Health Treatment Facilities, Primarily Outpatient

Deductibility:

Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Determination Letters