| Entity Name: | TAMPA BAY FAMILY PHYSICIANS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
TAMPA BAY FAMILY PHYSICIANS, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 21 Jun 2012 (13 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 14 Feb 2013 (12 years ago) |
| Document Number: | P12000056243 |
| FEI/EIN Number |
45-5550002
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 5113 SR 674, Wimauma, FL, 33598, US |
| Mail Address: | 5113 SR 674, Wimauma, FL, 33598, US |
| ZIP code: | 33598 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396000154 | 2012-07-09 | 2024-04-20 | 5113 STATE ROAD 674, STE 103, WIMAUMA, FL, 33598, US | 5113 STATE ROAD 674, STE 103, WIMAUMA, FL, 33598, US | |||||||||||||||||||||||||||||
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| Phone | +1 813-633-2000 |
| Fax | 8138499301 |
Authorized person
| Name | KHUSHI A. DHALIWAL |
| Role | PRESIDENT |
| Phone | 8136332000 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | ME0059912 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 007662600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DHALIWAL KHUSHI A | President | 5113 SR 674, Wimauma, FL, 33598 |
| DHALIWAL KHUSHI A | Director | 5113 SR 674, Wimauma, FL, 33598 |
| DHALIWAL KHUSHI A | Agent | 5113 SR 674, Wimauma, FL, 33598 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000013216 | SUNSTATE DOCTORS MEDICAL GROUP | ACTIVE | 2022-02-02 | 2027-12-31 | - | 5113 SR 674,STE 103, WIMAUMA, FL, 33598 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-08 | 5113 SR 674, STE 103, Wimauma, FL 33598 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2023-06-22 | 5113 SR 674, STE 103, Wimauma, FL 33598 | - |
| CHANGE OF MAILING ADDRESS | 2023-06-22 | 5113 SR 674, STE 103, Wimauma, FL 33598 | - |
| AMENDMENT | 2013-02-14 | - | - |
| AMENDMENT | 2012-08-02 | - | - |
| AMENDMENT | 2012-07-05 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-08 |
| ANNUAL REPORT | 2023-01-31 |
| AMENDED ANNUAL REPORT | 2022-03-14 |
| ANNUAL REPORT | 2022-02-25 |
| ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2020-06-22 |
| ANNUAL REPORT | 2019-02-18 |
| ANNUAL REPORT | 2018-03-13 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-04-28 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 7648847701 | 2020-05-01 | 0455 | PPP | 4874 SUN CITY CENTER BLVD, SUN CITY CENTER, FL, 33573-6281 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Apr 2025
Sources: Florida Department of State
