Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Hillsborough
    4. ›
  4. 33511
    5. ›
  5. TAMPA BAY PULMONARY, P.A.

TAMPA BAY PULMONARY, P.A.

Company Details

Entity Name: TAMPA BAY PULMONARY, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 02 Jun 2000 (25 years ago)
Date of dissolution: 27 Sep 2013 (11 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2013 (11 years ago)
Document Number: P00000053523
FEI/EIN Number 593650482
Address: 402 NOLAND DRIVE, BRANDON, FL, 33511
Mail Address: 402 NOLAND DRIVE, BRANDON, FL, 33511
ZIP code: 33511
County: Hillsborough
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TAMPA BAY PULMONARY, P.A. PROFIT SHARING PLAN 2010 593650482 2011-08-10 TAMPA BAY PULMONARY, P.A. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 8136559000
Plan sponsor’s address 402 NOLAND DRIVE, BRANDON, FL, 335115709

Plan administrator’s name and address
Administrator’s EIN 593650482
Plan administrator’s name TAMPA BAY PULMONARY, P.A.
Plan administrator’s address 402 NOLAND DRIVE, BRANDON, FL, 335115709
Administrator’s telephone number 8136559000

Signature of
Role Plan administrator
Date 2011-08-10
Name of individual signing IVAN F. ACKERMAN, M.D.
Valid signature Filed with authorized/valid electronic signature
TAMPA BAY PULMONARY, P.A. PROFIT SHARING PLAN 2009 593650482 2010-09-07 TAMPA BAY PULMONARY, P.A. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 8136559000
Plan sponsor’s address 402 NOLAND DRIVE, BRANDON, FL, 335115709

Plan administrator’s name and address
Administrator’s EIN 593650482
Plan administrator’s name TAMPA BAY PULMONARY, P.A.
Plan administrator’s address 402 NOLAND DRIVE, BRANDON, FL, 335115709
Administrator’s telephone number 8136559000

Signature of
Role Plan administrator
Date 2010-09-07
Name of individual signing IVAN F. ACKERMAN, M.D.
Valid signature Filed with authorized/valid electronic signature
TAMPA BAY PULMONARY, P.A. PROFIT SHARING PLAN 2009 593650482 2010-09-07 TAMPA BAY PULMONARY, P.A. 24
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 8136559000
Plan sponsor’s address 402 NOLAND DRIVE, BRANDON, FL, 335115709

Plan administrator’s name and address
Administrator’s EIN 593650482
Plan administrator’s name TAMPA BAY PULMONARY, P.A.
Plan administrator’s address 402 NOLAND DRIVE, BRANDON, FL, 335115709
Administrator’s telephone number 8136559000

Signature of
Role Plan administrator
Date 2010-09-07
Name of individual signing IVAN F. ACKERMAN, M.D.
Valid signature Filed with incorrect/unrecognized electronic signature
TAMPA BAY PULMONARY, P.A. PROFIT SHARING PLAN 2009 593650482 2010-09-07 TAMPA BAY PULMONARY, P.A. 24
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 8136559000
Plan sponsor’s address 402 NOLAND DRIVE, BRANDON, FL, 335115709

Plan administrator’s name and address
Administrator’s EIN 593650482
Plan administrator’s name TAMPA BAY PULMONARY, P.A.
Plan administrator’s address 402 NOLAND DRIVE, BRANDON, FL, 335115709
Administrator’s telephone number 8136559000

Signature of
Role Plan administrator
Date 2010-09-07
Name of individual signing IVAN F. ACKERMAN, M.D.
Valid signature Filed with incorrect/unrecognized electronic signature
TAMPA BAY PULMONARY, P.A. PROFIT SHARING PLAN 2009 593650482 2010-09-07 TAMPA BAY PULMONARY, P.A. 24
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 8136559000
Plan sponsor’s address 402 NOLAND DRIVE, BRANDON, FL, 335115709

Plan administrator’s name and address
Administrator’s EIN 593650482
Plan administrator’s name TAMPA BAY PULMONARY, P.A.
Plan administrator’s address 402 NOLAND DRIVE, BRANDON, FL, 335115709
Administrator’s telephone number 8136559000

Signature of
Role Plan administrator
Date 2010-09-07
Name of individual signing IVAN F. ACKERMAN, M.D.
Valid signature Filed with incorrect/unrecognized electronic signature

Agent

Name Role Address
ACKERMAN IVAN Agent 402 NOLAND DRIVE, BRANDON, FL, 33511

Officer

Name Role Address
ACKERMAN, MD IVAN Officer 402 NOLAND DRIVE, BRANDON, FL, 33511

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2013-09-27 No data No data
NAME CHANGE AMENDMENT 2006-10-09 TAMPA BAY PULMONARY, P.A. No data
REGISTERED AGENT ADDRESS CHANGED 2004-01-15 402 NOLAND DRIVE, BRANDON, FL 33511 No data
CHANGE OF PRINCIPAL ADDRESS 2003-01-13 402 NOLAND DRIVE, BRANDON, FL 33511 No data
CHANGE OF MAILING ADDRESS 2003-01-13 402 NOLAND DRIVE, BRANDON, FL 33511 No data
REGISTERED AGENT NAME CHANGED 2001-02-13 ACKERMAN, IVAN No data

Documents

Name Date
ANNUAL REPORT 2012-02-29
ANNUAL REPORT 2011-04-26
ANNUAL REPORT 2010-01-13
ANNUAL REPORT 2009-01-15
ANNUAL REPORT 2008-04-09
ANNUAL REPORT 2007-04-06
Name Change 2006-10-09
ANNUAL REPORT 2006-03-20
ANNUAL REPORT 2005-03-04
ANNUAL REPORT 2004-01-15

Related by officers

No related officers

Related by address

402 NOLAND DRIVE, BRANDON, FL, 33511

TAMPA BAY PULMONARY MEDICINE, P.A. TAMPA BAY PULMONARY AND SLEEP MEDICINE, PA FLORIDA SCHOOL OF SLEEP MEDICINE AND TECHNOLOGY, INC. JEFFREY A. FLOCH, M.D., P.A. 402 NOLAND DR., L.L.C.

402 NOLAND DRIVE, BRANDON, FL, 33511

TAMPA BAY PULMONARY MEDICINE, P.A. TAMPA BAY PULMONARY AND SLEEP MEDICINE, PA FLORIDA SCHOOL OF SLEEP MEDICINE AND TECHNOLOGY, INC. JEFFREY A. FLOCH, M.D., P.A. 402 NOLAND DR., L.L.C.

Date of last update: 01 Feb 2025

Sources: Florida Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 flprofile.com, Part of Big Data Integrated