| Entity Name: | PALMS PATHOLOGY PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 19 Sep 2005 (19 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 08 Nov 2007 (17 years ago) |
| Document Number: | P05000128302 |
| FEI/EIN Number | 800125876 |
| Address: | 1209 TECH BLVD, SUITE 106, TAMPA, FL, 33619 |
| Mail Address: | 1209 TECH BLVD, SUITE 106, TAMPA, FL, 33619 |
| ZIP code: | 33619 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962546515 | 2007-02-16 | 2009-04-13 | 1209 TECH BLVD, SUITE # 106, TAMPA, FL, 336197870, US | 1209 TECH BLVD, SUITE # 106, TAMPA, FL, 336197870, US | |||||||||||||||||||
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| Phone | +1 813-649-8026 |
| Fax | 8132465555 |
Authorized person
| Name | FARUK AYDIN |
| Role | MEDICAL DIRECTOR |
| Phone | 8136498026 |
Taxonomy
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| License Number | 8000021745 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PALMS PATHOLOGY PA 401(K) PROFIT SHARING PLAN & TRUST | 2021 | 800125876 | 2022-05-23 | PALMS PATHOLOGY PA | 3 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2022-05-23 |
| Name of individual signing | FARUK AYDIN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2018-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8136498026 |
| Plan sponsor’s address | 1209 TECH BLVD STE 106, TAMPA, FL, 33619 |
Signature of
| Role | Plan administrator |
| Date | 2020-08-05 |
| Name of individual signing | STACEY MULLINS-TANNIS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2018-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8136498026 |
| Plan sponsor’s address | 1209 TECH BLVD STE 106, TAMPA, FL, 33619 |
Signature of
| Role | Plan administrator |
| Date | 2019-08-27 |
| Name of individual signing | FARUK AYDIN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| FARUK AYDIN | Agent | 1209 TECH BLVD, TAMPA, FL, 33619 |
| Name | Role | Address |
|---|---|---|
| FARUK AYDIN | Manager | 1209 TECH BLVD SUITE 106, TAMPA, FL, 33619 |
| Name | Role | Address |
|---|---|---|
| FARUK AYDIN | Director | 1209 TECH BLVD SUITE 106, TAMPA, FL, 33619 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2016-02-16 | FARUK, AYDIN | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-02-16 | 1209 TECH BLVD, SUITE 106, TAMPA, FL 33619 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-04-13 | 1209 TECH BLVD, SUITE 106, TAMPA, FL 33619 | No data |
| CHANGE OF MAILING ADDRESS | 2009-04-13 | 1209 TECH BLVD, SUITE 106, TAMPA, FL 33619 | No data |
| NAME CHANGE AMENDMENT | 2007-11-08 | PALMS PATHOLOGY PA | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-08 |
| ANNUAL REPORT | 2023-01-12 |
| ANNUAL REPORT | 2022-03-22 |
| ANNUAL REPORT | 2021-03-13 |
| ANNUAL REPORT | 2020-01-15 |
| ANNUAL REPORT | 2019-02-05 |
| ANNUAL REPORT | 2018-02-13 |
| ANNUAL REPORT | 2017-02-12 |
| ANNUAL REPORT | 2016-02-16 |
| ANNUAL REPORT | 2015-01-09 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
