| Entity Name: | FLORIDA CARE CENTERS OF TAMPA, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 09 Jan 2012 (13 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | P12000002853 |
| FEI/EIN Number | 90-0922665 |
| Address: | 9309 N. FLORIDA AVENUE, SUITE 111, TAMPA, FL, 33612 |
| Mail Address: | P.O. BOX 14-4176, CORAL GABLES, FL, 33114, US |
| ZIP code: | 33612 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295099943 | 2012-06-27 | 2012-06-27 | PO BOX 144640, CORAL GABLES, FL, 331144640, US | 9309 N FLORIDA AVE, SUITE 111, TAMPA, FL, 336127237, US | |||||||||||||||
|
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| Phone | +1 786-441-5660 |
| Fax | 7864415660 |
Authorized person
| Name | MRS. MARTA M FIALLO |
| Role | OPERATIONS EXECUTIVE |
| Phone | 7864415660 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WILSON KARREN E | Agent | 3849 BUCKINGHAMSHIRE DRIVE, LAND O LAKES, FL, 34638 |
| Name | Role | Address |
|---|---|---|
| SIERRA NILO M | Vice President | 7208 N. STERLING AVENUE, TAMPA, FL, 33614 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000037003 | FLORIDA CARE CENTERS | EXPIRED | 2012-04-18 | 2017-12-31 | No data | P.O. BOX 14-4640, CORAL GABLES, FL, 33114 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2014-04-30 | 9309 N. FLORIDA AVENUE, SUITE 111, TAMPA, FL 33612 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-04-30 |
| ANNUAL REPORT | 2013-04-29 |
| Domestic Profit | 2012-01-09 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
