| Entity Name: | TAMPA HEALTHY AGING, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 21 Nov 2013 (11 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | P13000094756 |
| FEI/EIN Number | 46-4210477 |
| Address: | 15417 NORTH DALE MABRY HIGHWAY, TAMPA, FL, 33818, US |
| Mail Address: | 15417 NORTH DALE MABRY HIGHWAY, TAMPA, FL, 33818, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881002533 | 2014-07-25 | 2014-07-25 | 15417 N DALE MABRY HWY, TAMPA, FL, 336181822, US | 15417 N DALE MABRY HWY, TAMPA, FL, 336181822, US | |||||||||||||||||||
|
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| Phone | +1 813-963-7500 |
| Fax | 8139637551 |
Authorized person
| Name | ANTHONY GRANELL |
| Role | OWNER |
| Phone | 8139637500 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | OS 5939 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| ROBERT C. BURNETTE, P. A. | Agent |
| Name | Role | Address |
|---|---|---|
| GRANELL ANTHONY | President | 5436 LAKE LECLARE RD., LUTZ, FL, 33558 |
| Name | Role | Address |
|---|---|---|
| GRANELL VICKI | Vice President | 5436 LAKE LECLARE RD., LUTZ, FL, 33558 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000129313 | TAMPA HEALTHY AGING, INC. | EXPIRED | 2013-12-31 | 2018-12-31 | No data | 15417 NORTH DALE MABRY HWY., TAMPA, FL, 33618 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-01-21 |
| ANNUAL REPORT | 2014-06-12 |
| Domestic Profit | 2013-11-21 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
