| Entity Name: | ST. JOSEPH'S COMMUNITY CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 18 Nov 1992 (32 years ago) |
| Document Number: | N92000000350 |
| FEI/EIN Number | 593152608 |
| Address: | 3001 W. DR. MARTIN LUTHER KING JR. BLVD., TAMPA, FL, 33607, US |
| Mail Address: | 3001 W. DR. MARTIN LUTHER KING JR. BLVD., TAMPA, FL, 33607, US |
| ZIP code: | 33607 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174192108 | 2021-06-23 | 2021-06-23 | 2995 DREW ST FL 3, CLEARWATER, FL, 337593012, US | 1246 RAY CHARLES BLVD, TAMPA, FL, 336023028, US | |||||||||||||||||
|
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| Phone | +1 727-281-9390 |
Authorized person
| Name | LYNDA GORKEN |
| Role | VP, PFS |
| Phone | 7272819202 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Name | Role |
|---|---|
| BAYCARE HEALTH SYSTEM, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| Guy Kimberly | President | 2985 DREW STREET, CLEARWATER, FL, 33759 |
| Name | Role | Address |
|---|---|---|
| Viswanathan Sowmya M.D. | Director | 2985 Drew Street, Clearwater, FL, 33759 |
| TREMONTI CARL | Director | 3001 W. DR. MARTIN LUTHER KING JR. BLVD., TAMPA, FL, 33607 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2018-05-14 | No data | No data |
| AMENDMENT | 2014-07-02 | No data | No data |
| AMENDMENT | 2000-10-19 | No data | No data |
| AMENDED AND RESTATEDARTICLES | 1997-12-02 | No data | No data |
| AMENDMENT | 1997-08-29 | No data | No data |
| AMENDED AND RESTATEDARTICLES | 1993-06-28 | No data | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
