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ASTHMA, ALLERGY AND IMMUNOLOGY OF TAMPA BAY, P.A. - Florida Company Profile

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Company Details

Entity Name: ASTHMA, ALLERGY AND IMMUNOLOGY OF TAMPA BAY, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 08 Sep 2003 (22 years ago)
Document Number: P03000099789
FEI/EIN Number 651207039
Address: 4503 N. ARMENIA AVENUE, TAMPA, FL, 33603, US
Mail Address: 4503 N. ARMENIA AVENUE, TAMPA, FL, 33603, US
ZIP code: 33603
City: Tampa
County: Hillsborough
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
JEREZ-MARTIN DIANA P Director 4503 N. ARMENIA AVENUE, TAMPA, FL, 33603
MARTIN AGUSTIN A Vice President 4503 N. ARMENIA AVENUE, TAMPA, FL, 33603
MARTIN AGUSTIN A Director 4503 N. ARMENIA AVENUE, TAMPA, FL, 33603
JEREZ-MARTIN DIANA P President 4503 N. ARMENIA AVENUE, TAMPA, FL, 33603
JEREZ-MARTIN DIANA P Agent 4503 N. ARMENIA AVENUE, TAMPA, FL, 33603

National Provider Identifier

NPI Number:
1982816716

Authorized Person:

Name:
DIANA PATRICIA MARTIN
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QM2500X - Medical Specialty Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
8138731166

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2016-04-10 4503 N. ARMENIA AVENUE, TAMPA, FL 33603 -
CHANGE OF MAILING ADDRESS 2016-04-10 4503 N. ARMENIA AVENUE, TAMPA, FL 33603 -
REGISTERED AGENT ADDRESS CHANGED 2016-04-10 4503 N. ARMENIA AVENUE, TAMPA, FL 33603 -
REGISTERED AGENT NAME CHANGED 2010-04-27 JEREZ-MARTIN, DIANA PPD -

Documents

Name Date
ANNUAL REPORT 2024-04-19
ANNUAL REPORT 2023-04-18
ANNUAL REPORT 2022-04-03
ANNUAL REPORT 2021-03-04
ANNUAL REPORT 2020-03-27
ANNUAL REPORT 2019-03-25
ANNUAL REPORT 2018-04-15
ANNUAL REPORT 2017-04-12
ANNUAL REPORT 2016-04-10
ANNUAL REPORT 2015-03-21

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Date of last update: 03 Aug 2025

Sources: Florida Department of State