| Entity Name: | BOWMAN & HAMPSEY MEDICAL CLINIC INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 17 Sep 2013 (11 years ago) |
| Document Number: | P13000076676 |
| FEI/EIN Number | 46-3685614 |
| Address: | 3251 MCMULLEN BOOTH ROAD, SUITE 303, CLEARWATER, FL 33761 |
| Mail Address: | 3607 S. West Shore Blvd., TAMPA, FL 33629 |
| ZIP code: | 33761 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205264355 | 2013-10-29 | 2013-10-29 | 3251 N MCMULLEN BOOTH RD, SUITE 303, CLEARWATER, FL, 337612022, US | 3251 N MCMULLEN BOOTH RD, SUITE 303, CLEARWATER, FL, 337612022, US | |||||||||||||||||||
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| Phone | +1 727-725-6110 |
| Fax | 7277255561 |
Authorized person
| Name | DR. SRIKANTH MALEMPATI |
| Role | DIRECTOR |
| Phone | 7277256110 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | ME106228 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ONEHEALTH PRIMARY CARE 401(K) PLAN | 2023 | 463685614 | 2024-07-23 | BOWMAN & HAMPSEY MEDICAL CLINIC, INC. | 23 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-07-23 |
| Name of individual signing | CHRIS HORNE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 621399 |
| Sponsor’s telephone number | 8133626952 |
| Plan sponsor’s address | 3251 N MCMULLEN BOOTH RD #303, CLEARWATER, FL, 33761 |
Signature of
| Role | Plan administrator |
| Date | 2023-07-18 |
| Name of individual signing | CHRIS HORNE |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| MALEMPATI, DHARMA | Agent | 3607 S. West Shore Blvd., TAMPA, FL 33629 |
| Name | Role | Address |
|---|---|---|
| MALEMPATI, SRIKANTH | Director | 3251 MCMULLEN BOOTH ROAD, SUITE 303, CLEARWATER, FL 33761 |
| Kotak, Tanuja | Director | 601 S HARBOUR ISLAND BLVD, SUITE 200 TAMPA, FL 33602 |
| Name | Role | Address |
|---|---|---|
| MALEMPATI, DHARMA | President and Director | 3607 S. West Shore Blvd., TAMPA, FL 33629 |
| Name | Role | Address |
|---|---|---|
| Jankovic, Goran | Treasurer | 601 S HARBOUR ISLAND BLVD, SUITE 200 TAMPA, FL 33602 |
| Name | Role | Address |
|---|---|---|
| Haber, Michael | Secretary | 601 S HARBOUR ISLAND BLVD, SUITE 200 TAMPA, FL 33602 |
| Name | Role | Address |
|---|---|---|
| Polen, Michael | Vice President | 601 S HARBOUR ISLAND BLVD, SUITE 200 TAMPA, FL 33602 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000033838 | ONEHEALTH PRIMARY CARE | ACTIVE | 2014-04-04 | 2029-12-31 | No data | 3607 S WEST SHORE BLVD, TAMPA, FL, 33629 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2020-06-23 | 3251 MCMULLEN BOOTH ROAD, SUITE 303, CLEARWATER, FL 33761 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-06-23 | 3607 S. West Shore Blvd., TAMPA, FL 33629 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-12 |
| ANNUAL REPORT | 2023-04-03 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-04-21 |
| ANNUAL REPORT | 2020-06-23 |
| ANNUAL REPORT | 2019-03-18 |
| ANNUAL REPORT | 2018-03-22 |
| ANNUAL REPORT | 2017-04-26 |
| ANNUAL REPORT | 2016-04-07 |
| ANNUAL REPORT | 2015-03-19 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State
