| Entity Name: | TAMBOLINA SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 10 Aug 2007 (18 years ago) |
| Document Number: | P07000090559 |
| FEI/EIN Number | 113784443 |
| Address: | 1627 ROGERO ROAD, JACKSONVILLE, FL, 32211, US |
| Mail Address: | 1627 ROGERO ROAD, JACKSONVILLE, FL, 32211, US |
| ZIP code: | 32211 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659794014 | 2014-01-21 | 2023-10-25 | 1627 ROGERO RD STE A&B, JACKSONVILLE, FL, 322114866, US | 1627 ROGERO RD STE A&B, JACKSONVILLE, FL, 322114866, US | |||||||||||||||||||||||||
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| Phone | +1 904-629-9922 |
| Fax | 9042400309 |
Authorized person
| Name | DR. TAMBA MANYA MOMORIE |
| Role | DIRECTOR |
| Phone | 9046299922 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 30211580 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 691759396 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MOMORIE TAMBA MDr. | Agent | 1627 Rogero Road, Jacksonville, FL, 32211 |
| Name | Role | Address |
|---|---|---|
| MOMORIE TAMBA M | President | 1627 Rogero Road, Jacksonville, FL, 32211 |
| Name | Role | Address |
|---|---|---|
| MOMORIE TAMBA M | Chief Executive Officer | 1627 Rogero Road, JACKSONVILLE, FL, 32211 |
| Name | Role | Address |
|---|---|---|
| Momorie Linda F | Admi | 1627 Rogero Road, JACKSONVILLE, FL, 32211 |
| Name | Role | Address |
|---|---|---|
| Momorie Jessica N | Director | 1627 Rogero Road, JACKSONVILLE, FL, 32211 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-03-05 | MOMORIE, TAMBA MANYA, Dr. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-22 | 1627 ROGERO ROAD, STE A & B, JACKSONVILLE, FL 32211 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-22 | 1627 ROGERO ROAD, STE A & B, JACKSONVILLE, FL 32211 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-03-15 | 1627 Rogero Road, Suite A & B, Jacksonville, FL 32211 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-05 |
| ANNUAL REPORT | 2023-03-14 |
| ANNUAL REPORT | 2022-02-24 |
| ANNUAL REPORT | 2021-03-15 |
| ANNUAL REPORT | 2020-03-20 |
| ANNUAL REPORT | 2019-03-10 |
| ANNUAL REPORT | 2018-02-26 |
| ANNUAL REPORT | 2017-02-06 |
| ANNUAL REPORT | 2016-02-18 |
| ANNUAL REPORT | 2015-02-25 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
