| Entity Name: | PATIENT DIRECTED CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 16 Jul 2004 (21 years ago) |
| Document Number: | P04000106017 |
| FEI/EIN Number | 26-0567584 |
| Address: | 15511 NORTH FLORIDA AVENUE, SUITE D, TAMPA, FL 33613 |
| Mail Address: | 15511 NORTH FLORIDA AVENUE, SUITE D, TAMPA, FL 33613 |
| ZIP code: | 33613 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508501180 | 2022-04-28 | 2022-04-28 | 15511 N FLORIDA AVE STE D, TAMPA, FL, 336131262, US | 15511 N FLORIDA AVE STE D, TAMPA, FL, 336131262, US | |||||||||||||||
|
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| Phone | +1 813-931-0000 |
| Fax | 8137097162 |
Authorized person
| Name | ALAN IEZZI |
| Role | PRESIDENT |
| Phone | 8132451026 |
Taxonomy
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Humphries, William F | Agent | 15511 NORTH FLORIDA AVENUE, SUITE D, TAMPA, FL 33613 |
| Name | Role | Address |
|---|---|---|
| Humphries, William F | President | 15511 NORTH FLORIDA AVENUE, Suite D TAMPA, FL 33613 |
| Name | Role | Address |
|---|---|---|
| Chambers, Derrick | Director | 15511 N. Florida Ave., Suite D Tampa, FL 33613 |
| Lumia, James | Director | 15511 N. Florida Ave., Suite D Tampa, FL 33613 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2022-04-25 | Humphries, William F | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-03-20 | 15511 NORTH FLORIDA AVENUE, SUITE D, TAMPA, FL 33613 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-08 |
| ANNUAL REPORT | 2023-03-23 |
| ANNUAL REPORT | 2022-04-25 |
| ANNUAL REPORT | 2021-04-23 |
| ANNUAL REPORT | 2020-02-11 |
| ANNUAL REPORT | 2019-02-15 |
| ANNUAL REPORT | 2018-03-27 |
| ANNUAL REPORT | 2017-03-10 |
| ANNUAL REPORT | 2016-03-08 |
| ANNUAL REPORT | 2015-03-25 |
Date of last update: 05 Jan 2025
Sources: Florida Department of State
