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  5. NEW TAMPA UROLOGY, P.A.

NEW TAMPA UROLOGY, P.A.

Company Details

Entity Name: NEW TAMPA UROLOGY, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 30 May 2002 (23 years ago)
Document Number: P02000059969
FEI/EIN Number 421538910
Address: 5332 PRIMROSE LAKE CIRCLE, TAMPA, FL, 33647
Mail Address: 5332 PRIMROSE LAKE CIRCLE, TAMPA, FL, 33647
ZIP code: 33647
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1003840091 2006-07-10 2008-04-29 5332 PRIMROSE LAKE CIR, TAMPA, FL, 336473589, US 5332 PRIMROSE LAKE CIR, TAMPA, FL, 336473589, US

Contacts
Phone +1 813-558-9091
Fax 8138663948

Authorized person
Name MRS. CARLA WILLIAMSON STARLING
Role OFFICE MANAGER
Phone 8135589091

Taxonomy
Taxonomy Code 208800000X - Urology Physician
License Number ME68367
State FL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 259650400
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NEW TAMPA UROLOGY 401(K) PLAN 2023 421538910 2025-01-08 NEW TAMPA UROLOGY, P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 8135589091
Plan sponsor’s address 5332 PRIMROSE LAKE CIRCLE, TAMPA, FL, 33647
NEW TAMPA UROLOGY 401(K) PLAN 2022 421538910 2023-10-13 NEW TAMPA UROLOGY, P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 8135589091
Plan sponsor’s address 5332 PRIMROSE LAKE CIRCLE, TAMPA, FL, 33647
NEW TAMPA UROLOGY 401(K) PLAN 2021 421538910 2022-10-13 NEW TAMPA UROLOGY, P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 8135589091
Plan sponsor’s address 5332 PRIMROSE LAKE CIRCLE, TAMPA, FL, 33647
NEW TAMPA UROLOGY 401(K) PLAN 2020 421538910 2021-10-18 NEW TAMPA UROLOGY, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 8135589091
Plan sponsor’s address 5332 PRIMROSE LAKE CIRCLE, TAMPA, FL, 33647
NEW TAMPA UROLOGY 401(K) PLAN 2019 421538910 2020-10-15 NEW TAMPA UROLOGY, P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 8135589091
Plan sponsor’s address 5332 PRIMROSE LAKE CIRCLE, TAMPA, FL, 33647
NEW TAMPA UROLOGY 401(K) PLAN 2018 421538910 2019-10-08 NEW TAMPA UROLOGY, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 8135589091
Plan sponsor’s address 5332 PRIMROSE LAKE CIRCLE, TAMPA, FL, 33647
NEW TAMPA UROLOGY 401(K) PLAN 2017 421538910 2018-10-09 NEW TAMPA UROLOGY, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 8135589091
Plan sponsor’s address 5332 PRIMROSE LAKE CIRCLE, TAMPA, FL, 33647
NEW TAMPA UROLOGY 401(K) PLAN 2016 421538910 2017-10-27 NEW TAMPA UROLOGY, P.A. 5
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 8135589091
Plan sponsor’s address 5332 PRIMROSE LAKE CIRCLE, TAMPA, FL, 33647
NEW TAMPA UROLOGY 401(K) PLAN 2016 421538910 2017-10-27 NEW TAMPA UROLOGY, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 8135589091
Plan sponsor’s address 5332 PRIMROSE LAKE CIRCLE, TAMPA, FL, 33647
NEW TAMPA UROLOGY 401(K) PLAN 2015 421538910 2016-10-17 NEW TAMPA UROLOGY, P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 8135589091
Plan sponsor’s address 5332 PRIMROSE LAKE CIRCLE, TAMPA, FL, 33647

Signature of
Role Plan administrator
Date 2016-10-17
Name of individual signing JEFFREY B. STARLING, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
RUGG JOSEPH Esq. Agent 401 E Jackson Street, TAMPA, FL, 33602

President

Name Role Address
STARLING JEFFREY B President 5332 Primrose Lake Circle, TAMPA, FL, 33647

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2023-06-02 RUGG, JOSEPH, Esq. No data
REGISTERED AGENT ADDRESS CHANGED 2017-03-20 401 E Jackson Street, Suite 3100, TAMPA, FL 33602 No data
CHANGE OF PRINCIPAL ADDRESS 2008-04-16 5332 PRIMROSE LAKE CIRCLE, TAMPA, FL 33647 No data
CHANGE OF MAILING ADDRESS 2008-04-16 5332 PRIMROSE LAKE CIRCLE, TAMPA, FL 33647 No data

Documents

Name Date
ANNUAL REPORT 2024-02-12
ANNUAL REPORT 2023-06-02
ANNUAL REPORT 2022-04-11
ANNUAL REPORT 2021-06-03
ANNUAL REPORT 2020-02-04
ANNUAL REPORT 2019-03-08
ANNUAL REPORT 2018-03-13
ANNUAL REPORT 2017-03-20
ANNUAL REPORT 2016-07-11
ANNUAL REPORT 2015-03-20

Related by officers

RUGG JOSEPH Esq.

FLARAD PROPERTIES, LLC FLORIDA RADIOLOGY CONSULTANTS, P.A.

Related by address

No related companies by address

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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