| Entity Name: | JIN M. KIM, D.O., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 05 Apr 2000 (25 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 06 Feb 2015 (10 years ago) |
| Document Number: | P00000035945 |
| FEI/EIN Number | 593642663 |
| Address: | 10205 W HILLSBOROUGH AVENUE, TAMPA, FL, 33615 |
| Mail Address: | 10205 W HILLSBOROUGH AVE, TAMPA, FL, 33615, US |
| ZIP code: | 33615 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699875096 | 2006-09-25 | 2019-09-13 | 10205 W HILLSBOROUGH AVE, TAMPA, FL, 336153671, US | 10205 W HILLSBOROUGH AVE, TAMPA, FL, 336153671, US | |||||||||||||||
|
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| Phone | +1 813-884-2300 |
| Fax | 8138842390 |
Authorized person
| Name | JUN H KIM |
| Role | OFFICE ADMINISTRATOR |
| Phone | 8138842300 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KIM JIN M | Agent | 10205 W HILLSBOROUGH AVENUE, TAMPA, FL, 33615 |
| Name | Role | Address |
|---|---|---|
| KIM JIN M | Director | 10205 W HILLSBOROUGH AVENUE, TAMPA, FL, 33615 |
| Name | Role | Address |
|---|---|---|
| kim jun h | admi | 10205 W HILLSBOROUGH AVENUE, TAMPA, FL, 33615 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000036026 | TLC FAMILY MEDICAL & REHAB CENTER | ACTIVE | 2016-04-08 | 2026-12-31 | No data | 10205 W HILLSBOROUGH AVE STE B, TAMPA, FL, 33615 |
| G10000064990 | TLC FAMILY MEDICAL & REHAB CENTER | EXPIRED | 2010-07-14 | 2015-12-31 | No data | 10205 W. HILLSBOROUGH AVE,, SUITE B, TAMPA, FL, 33615 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2018-04-10 | 10205 W HILLSBOROUGH AVENUE, TAMPA, FL 33615 | No data |
| REINSTATEMENT | 2015-02-06 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-02-06 | KIM, JIN MD.O. | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-02-15 | 10205 W HILLSBOROUGH AVENUE, TAMPA, FL 33615 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-02-15 | 10205 W HILLSBOROUGH AVENUE, TAMPA, FL 33615 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-12 |
| ANNUAL REPORT | 2023-02-20 |
| ANNUAL REPORT | 2022-03-08 |
| ANNUAL REPORT | 2021-03-05 |
| ANNUAL REPORT | 2020-04-06 |
| ANNUAL REPORT | 2019-03-14 |
| ANNUAL REPORT | 2018-04-10 |
| ANNUAL REPORT | 2017-04-27 |
| ANNUAL REPORT | 2016-04-08 |
| REINSTATEMENT | 2015-02-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
