| Entity Name: | ABA OF TAMPA BAY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 08 Oct 2009 (15 years ago) |
| Document Number: | P09000083701 |
| FEI/EIN Number | 271179198 |
| Address: | 10014 Park Place Ave., Riverview, FL, 33578, US |
| Mail Address: | 10014 Park Place Ave., Riverview, FL, 33578, US |
| ZIP code: | 33578 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295067726 | 2010-02-09 | 2010-02-09 | 3817 CLOVERHILL CT, BRANDON, FL, 335117937, US | 3817 CLOVERHILL CT, BRANDON, FL, 335117937, US | |||||||||||||||
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| Phone | +1 813-571-8010 |
| Fax | 8135718010 |
Authorized person
| Name | MR. DAVID J SHAW |
| Role | PRESIDENT |
| Phone | 8135718010 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SHAW DAVID J | Agent | 3817 CLOVERHILL COURT, BRANDON, FL, 33511 |
| Name | Role | Address |
|---|---|---|
| SHAW DAVID J | President | 3817 CLOVERHILL COURT, BRANDON, FL, 33511 |
| Name | Role | Address |
|---|---|---|
| Shaw Heather | Vice President | 3817 CLOVERHILL COURT, BRANDON, FL, 33511 |
| Name | Role | Address |
|---|---|---|
| Myklaina Pierre-Louis | Clin | 10014 Park Place Ave., Riverview, FL, 33578 |
| Kienholz Logan | Clin | 10014 Park Place Ave., Riverview, FL, 33578 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000091052 | PANHANDLE ABA | ACTIVE | 2021-07-12 | 2026-12-31 | No data | 10014 PARK PLACE AVE, RIVERVIEW, FL, 33578 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2017-01-09 | 10014 Park Place Ave., Riverview, FL 33578 | No data |
| CHANGE OF MAILING ADDRESS | 2017-01-09 | 10014 Park Place Ave., Riverview, FL 33578 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-19 |
| ANNUAL REPORT | 2023-01-31 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-02-08 |
| ANNUAL REPORT | 2020-01-22 |
| ANNUAL REPORT | 2019-02-11 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-01-18 |
| ANNUAL REPORT | 2015-01-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
