| Entity Name: | KABS OF TAMPA, INCORPORATED |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 04 Jun 2001 (24 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 08 Oct 2003 (21 years ago) |
| Document Number: | P01000056440 |
| FEI/EIN Number | 364457589 |
| Address: | 2812 E BEARSS AVE, TAMPA, FL, 33613 |
| Mail Address: | 2812 E BEARSS AVE, TAMPA, FL, 33613 |
| ZIP code: | 33613 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649798356 | 2017-09-01 | 2022-07-21 | 2812 E BEARSS AVE, TAMPA, FL, 336132653, US | 2812 E BEARSS AVE, TAMPA, FL, 336132653, US | |||||||||||||||||||||||
|
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| Phone | +1 813-843-0224 |
Authorized person
| Name | KOLAWOLE ISHOLA |
| Role | VICE PRESIDENT |
| Phone | 8139884000 |
Taxonomy
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| License Number | PH18088 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 025271900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ISHOLA OLABODE A | Agent | 2812 E BEARSS AVENUE, TAMPA, FL, 33613 |
| Name | Role | Address |
|---|---|---|
| ISHOLA OLABODE A | President | 10109 VISTA POINTE DRIVE, TAMPA, FL, 33635 |
| Name | Role | Address |
|---|---|---|
| ISHOLA KOLAWOLE | Vice President | 17918 BURNT OAK LANE, LITHIA, FL, 33547 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000092941 | KABS PHARMACY | EXPIRED | 2017-08-22 | 2022-12-31 | No data | 2812 EAST BEARSS, TAMPA, FL, 33613 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2012-04-13 | ISHOLA, OLABODE A | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-04-13 | 2812 E BEARSS AVENUE, TAMPA, FL 33613 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-05-04 | 2812 E BEARSS AVE, TAMPA, FL 33613 | No data |
| CHANGE OF MAILING ADDRESS | 2010-05-04 | 2812 E BEARSS AVE, TAMPA, FL 33613 | No data |
| AMENDMENT | 2003-10-08 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J13001180844 | LAPSED | 51-2012-CA-04274 | CIR CT PASCO CTY | 2013-07-03 | 2018-07-17 | $77,699.25 | INTRA HOLDINGS, LLC, P.O. BOX 39, TARPON SPRINGS, FL 34688 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-21 |
| ANNUAL REPORT | 2024-01-05 |
| ANNUAL REPORT | 2023-01-17 |
| ANNUAL REPORT | 2022-01-07 |
| ANNUAL REPORT | 2021-01-06 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-06-14 |
| ANNUAL REPORT | 2018-03-26 |
| ANNUAL REPORT | 2017-07-03 |
| ANNUAL REPORT | 2016-07-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
