| Entity Name: | PULMONARY AND SLEEP SPECIALISTS OF TAMPA BAY, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 15 Jul 2003 (22 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 18 Dec 2017 (7 years ago) |
| Document Number: | P03000077714 |
| FEI/EIN Number | 043766017 |
| Address: | 13801 Bruce B. Downs BLVD, SUITE 204, TAMPA, FL, 33613, US |
| Mail Address: | P O BOX 270056, TAMPA, FL, 33688, US |
| ZIP code: | 33613 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972711356 | 2007-05-18 | 2018-05-23 | PO BOX 270056, TAMPA, FL, 336880056, US | 13801 BRUCE B DOWNS BLVD STE 204, TAMPA, FL, 33613, US | |||||||||||||||||||||||||||||||||
|
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| Phone | +1 813-975-4300 |
Authorized person
| Name | DR. MICHAEL NEAL NEWTON |
| Role | MD, OWNER |
| Phone | 8139754300 |
Taxonomy
| Taxonomy Code | 207RC0200X - Critical Care Medicine (Internal Medicine) Physician |
| Is Primary | Yes |
| Taxonomy Code | 207RP1001X - Pulmonary Disease Physician |
| Is Primary | No |
| Taxonomy Code | 207RS0012X - Sleep Medicine (Internal Medicine) Physician |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 259546000 |
| State | FL |
| Issuer | BCBS OF FLORIDA |
| Number | 35791 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Newton Michael NMD | Agent | 2913 Safe Harbor Dr., TAMPA, FL, 33618 |
| Name | Role | Address |
|---|---|---|
| NEWTON MICHAEL NMD | President | P O BOX 270056, TAMPA, FL, 33688 |
| Name | Role | Address |
|---|---|---|
| NEWTON MICHAEL NMD | Director | P O BOX 270056, TAMPA, FL, 33688 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-01-31 | Newton, Michael N, MD | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-02-09 | 13801 Bruce B. Downs BLVD, SUITE 204, TAMPA, FL 33613 | No data |
| NAME CHANGE AMENDMENT | 2017-12-18 | PULMONARY AND SLEEP SPECIALISTS OF TAMPA BAY, PA | No data |
| CHANGE OF MAILING ADDRESS | 2016-04-04 | 13801 Bruce B. Downs BLVD, SUITE 204, TAMPA, FL 33613 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-04-04 | 2913 Safe Harbor Dr., TAMPA, FL 33618 | No data |
| CANCEL ADM DISS/REV | 2010-02-27 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-01 |
| ANNUAL REPORT | 2023-01-31 |
| ANNUAL REPORT | 2022-04-11 |
| ANNUAL REPORT | 2021-01-26 |
| ANNUAL REPORT | 2020-06-29 |
| ANNUAL REPORT | 2019-04-12 |
| ANNUAL REPORT | 2018-02-09 |
| Name Change | 2017-12-18 |
| ANNUAL REPORT | 2017-04-20 |
| ANNUAL REPORT | 2016-04-04 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
