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TAMPA BAY DIABETES, THYROID & ENDOCRINOLOGY CENTER PA - Florida Company Profile

Company Details

Entity Name: TAMPA BAY DIABETES, THYROID & ENDOCRINOLOGY CENTER PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

TAMPA BAY DIABETES, THYROID & ENDOCRINOLOGY CENTER PA 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: 15 Aug 2013 (12 years ago)
Last Event: AMENDMENT
Event Date Filed: 10 Nov 2014 (10 years ago)
Document Number: P13000068039
FEI/EIN Number 46-3463495

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 5775 5TH AVENUE N, ST PETERSBURG, FL, 33710-7103, US
Mail Address: 5775 5TH AVENUE N, ST PETERSBURG, FL, 33710-7103, US
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1194113340 2014-12-22 2014-12-22 5775 5TH AVE N, ST PETERSBURG, FL, 337107103, US 5775 5TH AVE N, ST PETERSBURG, FL, 337107103, US

Contacts

Phone +1 727-345-5222
Fax 7273454066

Authorized person

Name AJAY VARANASI
Role PRESIDENT
Phone 7273455222

Taxonomy

Taxonomy Code 174400000X - Specialist
License Number ME108742
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TAMPA BAY DIABETES THYROID ENDOCRINOLOGY CENTER PA 401(K) P/S PLAN 2022 463463495 2023-04-28 TAMPA BAY DIABETES THYROID ENDOCRINOLOGY CENTER PA 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3217739516
Plan sponsor’s address 5775 5TH AVE N, SAINT PETERSBURG, FL, 33710

Plan administrator’s name and address

Administrator’s EIN 463463495
Plan administrator’s name TAMPA BAY DIABETES THYROID ENDOCRINOLOGY CENTER PA
Plan administrator’s address 5775 5TH AVE N, SAINT PETERSBURG, FL, 33710
Administrator’s telephone number 3217739516

Signature of

Role Plan administrator
Date 2023-04-28
Name of individual signing MICHAEL GEMMELL
Valid signature Filed with authorized/valid electronic signature
TAMPA BAY DIABETES THYROID ENDOCRINOLOGY CENTER PA 401(K) P/S PLAN 2021 463463495 2022-07-06 TAMPA BAY DIABETES THYROID ENDOCRINOLOGY CENTER PA 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3217739516
Plan sponsor’s address 5775 5TH AVE N, SAINT PETERSBURG, FL, 33710

Plan administrator’s name and address

Administrator’s EIN 463463495
Plan administrator’s name TAMPA BAY DIABETES THYROID ENDOCRINOLOGY CENTER PA
Plan administrator’s address 5775 5TH AVE N, SAINT PETERSBURG, FL, 33710
Administrator’s telephone number 3217739516

Signature of

Role Plan administrator
Date 2022-07-06
Name of individual signing MICHAEL GEMMELL
Valid signature Filed with authorized/valid electronic signature
TAMPA BAY DIABETES THYROID ENDOCRINOLOGY CENTER PA 401(K) P/S PLAN 2020 463463495 2021-06-07 TAMPA BAY DIABETES THYROID ENDOCRINOLOGY CENTER PA 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3217739516
Plan sponsor’s address 5775 5TH AVE N, SAINT PETERSBURG, FL, 33710

Plan administrator’s name and address

Administrator’s EIN 463463495
Plan administrator’s name TAMPA BAY DIABETES THYROID ENDOCRINOLOGY CENTER PA
Plan administrator’s address 5775 5TH AVE N, SAINT PETERSBURG, FL, 33710
Administrator’s telephone number 3217739516

Signature of

Role Plan administrator
Date 2021-06-07
Name of individual signing MICHAEL GEMMELL
Valid signature Filed with authorized/valid electronic signature
TAMPA BAY DIABETES THYROID ENDOCRINOLOGY CENTER PA 401(K) P/S PLAN 2019 463463495 2020-05-04 TAMPA BAY DIABETES THYROID ENDOCRINOLOGY CENTER PA 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3217739516
Plan sponsor’s address 5775 5TH AVE N, SAINT PETERSBURG, FL, 33710

Plan administrator’s name and address

Administrator’s EIN 463463495
Plan administrator’s name TAMPA BAY DIABETES THYROID ENDOCRINOLOGY CENTER PA
Plan administrator’s address 5775 5TH AVE N, SAINT PETERSBURG, FL, 33710
Administrator’s telephone number 3217739516

Signature of

Role Plan administrator
Date 2020-05-04
Name of individual signing MICHAEL GEMMELL
Valid signature Filed with authorized/valid electronic signature
TAMPA BAY DIABETES THYROID ENDOCRINOLOGY CENTER PA 401(K) P/S PLAN 2018 463463495 2019-04-16 TAMPA BAY DIABETES THYROID ENDOCRINOLOGY CENTER PA 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3217739516
Plan sponsor’s address 5775 5TH AVE N, SAINT PETERSBURG, FL, 33710

Plan administrator’s name and address

Administrator’s EIN 463463495
Plan administrator’s name TAMPA BAY DIABETES THYROID ENDOCRINOLOGY CENTER PA
Plan administrator’s address 5775 5TH AVE N, SAINT PETERSBURG, FL, 33710
Administrator’s telephone number 3217739516

Signature of

Role Plan administrator
Date 2019-04-16
Name of individual signing MICHAEL GEMMELL
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
VARANASI AJAY MD President 4903 W BAY WAY DRIVE, TAMPA, FL, 33629
VARANASI AJAY MD Secretary 4903 W BAY WAY DRIVE, TAMPA, FL, 33629
VARANASI AJAY MD Treasurer 4903 W BAY WAY DRIVE, TAMPA, FL, 33629
VARANASI AJAY Agent 5775 5TH AVENUE N, ST PETERSBURG, FL, 337107103

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2021-03-10 VARANASI, AJAY -
REGISTERED AGENT ADDRESS CHANGED 2021-03-10 5775 5TH AVENUE N, ST PETERSBURG, FL 33710-7103 -
AMENDMENT 2014-11-10 - -
CHANGE OF PRINCIPAL ADDRESS 2014-11-10 5775 5TH AVENUE N, ST PETERSBURG, FL 33710-7103 -
CHANGE OF MAILING ADDRESS 2014-11-10 5775 5TH AVENUE N, ST PETERSBURG, FL 33710-7103 -

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-04-29
ANNUAL REPORT 2022-04-30
ANNUAL REPORT 2021-03-10
ANNUAL REPORT 2020-03-11
ANNUAL REPORT 2019-04-08
ANNUAL REPORT 2018-03-13
ANNUAL REPORT 2017-03-22
ANNUAL REPORT 2016-04-03
ANNUAL REPORT 2015-04-30

Date of last update: 03 Apr 2025

Sources: Florida Department of State