| Entity Name: | JOSE R MOLE, MD, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 14 Jul 2006 (19 years ago) |
| Document Number: | P06000093844 |
| FEI/EIN Number | 342066019 |
| Address: | 2931 W HILLSBOROUGH AVE, TAMPA, FL, 33614, US |
| Mail Address: | 2931 W Hillsborough Ave, TAMPA, FL, 33614, US |
| ZIP code: | 33614 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881786127 | 2006-09-28 | 2022-01-13 | 2931 W HILLSBOROUGH AVE, TAMPA, FL, 336146054, US | 2931 W HILLSBOROUGH AVE, TAMPA, FL, 336146054, US | |||||||||||||||||||
|
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| Phone | +1 813-930-0930 |
| Fax | 8139300950 |
Authorized person
| Name | DR. JOSE R MOLE |
| Role | PHYSICIAN |
| Phone | 8139300930 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME0092632 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MOLE JOSE R | Agent | 2931 W HILLSBOROUGH AVE, TAMPA, FL, 33614 |
| Name | Role | Address |
|---|---|---|
| MOLE JOSE R | Director | 2931 W HILLSBOROUGH AVE, TAMPA, FL, 33614 |
| MOLE DUNIA L | Director | 2931 W HILLSBOROUGH AVE, TAMPA, FL, 33614 |
| Mole Lisett | Director | 2931 W Hillsborough Ave, Tampa, FL, 33614 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-25 | 2931 W HILLSBOROUGH AVE, TAMPA, FL 33614 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-25 | 2931 W HILLSBOROUGH AVE, TAMPA, FL 33614 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-25 | 2931 W HILLSBOROUGH AVE, TAMPA, FL 33614 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-04-25 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-04-28 |
| ANNUAL REPORT | 2020-05-26 |
| ANNUAL REPORT | 2019-03-13 |
| ANNUAL REPORT | 2018-04-12 |
| ANNUAL REPORT | 2017-01-23 |
| ANNUAL REPORT | 2016-04-27 |
| ANNUAL REPORT | 2015-01-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
