| Entity Name: | MORIAH R. MOFFITT, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 12 Jul 2000 (25 years ago) |
| Document Number: | P00000066504 |
| FEI/EIN Number | 593657235 |
| Address: | 603 SOUTH BOULEVARD, TAMPA, FL, 33606, US |
| Mail Address: | 603 SOUTH BOULEVARD, TAMPA, FL, 33606, US |
| ZIP code: | 33606 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700286564 | 2014-08-29 | 2014-08-29 | 603 S BOULEVARD, TAMPA, FL, 336062629, US | 603 S BOULEVARD, TAMPA, FL, 336062629, US | |||||||||||||||||||
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| Phone | +1 813-414-0908 |
| Fax | 8134642853 |
Authorized person
| Name | DR. MORIAH R MOFFITT |
| Role | BUSINESS OWNER |
| Phone | 8134140908 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME69284 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MOFFITT MORIAH R | Agent | 603 SOUTH BOULEVARD, TAMPA, FL, 33606 |
| Name | Role | Address |
|---|---|---|
| MOFFITT MORIAH RDr. | Manager | 603 SOUTH BOULEVARD, TAMPA, FL, 33606 |
| Name | Role | Address |
|---|---|---|
| MOFFITT MORIAH RDr. | Director | 603 SOUTH BOULEVARD, TAMPA, FL, 33606 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2013-01-25 | 603 SOUTH BOULEVARD, TAMPA, FL 33606 | No data |
| CHANGE OF MAILING ADDRESS | 2013-01-25 | 603 SOUTH BOULEVARD, TAMPA, FL 33606 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-01-25 | 603 SOUTH BOULEVARD, TAMPA, FL 33606 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-21 |
| ANNUAL REPORT | 2024-02-02 |
| ANNUAL REPORT | 2023-01-31 |
| ANNUAL REPORT | 2022-01-11 |
| ANNUAL REPORT | 2021-01-10 |
| ANNUAL REPORT | 2020-01-18 |
| ANNUAL REPORT | 2019-02-08 |
| ANNUAL REPORT | 2018-03-12 |
| ANNUAL REPORT | 2017-01-17 |
| ANNUAL REPORT | 2016-01-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
