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  5. TAMPA BAY MED INC.

TAMPA BAY MED INC.

Company Details

Entity Name: TAMPA BAY MED INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 31 Dec 2013 (11 years ago)
Document Number: P14000000252
FEI/EIN Number 46-4611213
Address: 7500 4TH ST N, SAINT PETERSBURG, FL, 33702
Mail Address: 7500 4TH ST N, SAINT PETERSBURG, FL, 33702
ZIP code: 33702
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1679948541 2015-12-03 2015-12-03 311 PARK PLACE BLVD, 5TH FLOOR, CLEARWATER, FL, 337594904, US 7500 4TH ST N, ST PETERSBURG, FL, 337025400, US

Contacts
Phone +1 727-483-7463
Fax 7277550679
Phone +1 727-798-0599
Fax 7275251835

Authorized person
Name NICOLE SISKO
Role CREDENTIALING SPECIALIST
Phone 7274837463

Taxonomy
Taxonomy Code 332900000X - Non-Pharmacy Dispensing Site
License Number ME106734
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TAMPA BAY MED, INC. 401(K) PLAN 2023 464611213 2024-06-27 TAMPA BAY MED, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-07-01
Business code 621111
Sponsor’s telephone number 7275264122
Plan sponsor’s address 7500 4TH STREET N., ST. PETERSBURG, FL, 33701
TAMPA BAY MED, INC. 401(K) PLAN 2022 464611213 2023-09-06 TAMPA BAY MED, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-07-01
Business code 621111
Sponsor’s telephone number 7275264122
Plan sponsor’s address 7500 4TH STREET N., ST. PETERSBURG, FL, 33701
TAMPA BAY MED, INC. 401(K) PLAN 2021 464611213 2022-09-19 TAMPA BAY MED, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-07-01
Business code 621111
Sponsor’s telephone number 7275264122
Plan sponsor’s address 7500 4TH STREET N., ST. PETERSBURG, FL, 33701
TAMPA BAY MED, INC. 401(K) PLAN 2020 464611213 2021-07-27 TAMPA BAY MED, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-07-01
Business code 621111
Sponsor’s telephone number 7275264122
Plan sponsor’s address 7500 4TH STREET N., ST. PETERSBURG, FL, 33701
TAMPA BAY MED, INC. 401(K) PLAN 2020 464611213 2021-10-12 TAMPA BAY MED, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-07-01
Business code 621111
Sponsor’s telephone number 7275264122
Plan sponsor’s address 7500 4TH STREET N., ST. PETERSBURG, FL, 33701
TAMPA BAY MED, INC. PENSION PLAN 2020 464611213 2021-10-12 TAMPA BAY MED, INC 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-07-01
Business code 621111
Sponsor’s telephone number 7275264122
Plan sponsor’s address 7500 4TH STREET N, ST. PETERSBURG, FL, 33701
TAMPA BAY MED, INC. PENSION PLAN 2019 464611213 2020-10-13 TAMPA BAY MED, INC 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-07-01
Business code 621111
Sponsor’s telephone number 7275264122
Plan sponsor’s address 7500 N 4TH STREET, ST. PETERSBURG, FL, 33701
TAMPA BAY MED, INC. 401(K) PLAN 2019 464611213 2020-10-13 TAMPA BAY MED, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-07-01
Business code 621111
Sponsor’s telephone number 7275264122
Plan sponsor’s address 7500 4TH STREET N., ST. PETERSBURG, FL, 33701
TAMPA BAY MED, INC. 401(K) PLAN 2018 464611213 2019-10-08 TAMPA BAY MED, INC. 9
Three-digit plan number (PN) 001
Effective date of plan 2012-07-01
Business code 621111
Sponsor’s telephone number 7275264122
Plan sponsor’s address 7500 4TH STREET N., ST. PETERSBURG, FL, 33701
TAMPA BAY MED, INC. PENSION PLAN 2018 464611213 2019-10-08 TAMPA BAY MED, INC 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-07-01
Business code 621111
Sponsor’s telephone number 7275264122
Plan sponsor’s address 7500 N 4TH STREET, ST. PETERSBURG, FL, 33701

Agent

Name Role Address
ABINALES BENJAMIN JMD Agent 7500 4TH ST N, SAINT PETERSBURG, FL, 33702

Director

Name Role Address
ABINALES BENJAMIN JMD Director 7500 4TH ST N, SAINT PETERSBURG, FL, 33702

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2025-04-01 7500 4TH ST N, SAINT PETERSBURG, FL 33702 No data
CHANGE OF MAILING ADDRESS 2025-04-01 7500 4TH ST N, SAINT PETERSBURG, FL 33702 No data
CHANGE OF PRINCIPAL ADDRESS 2024-04-01 7500 4TH ST N, SAINT PETERSBURG, FL 33702 No data
CHANGE OF MAILING ADDRESS 2024-04-01 7500 4TH ST N, SAINT PETERSBURG, FL 33702 No data

Documents

Name Date
ANNUAL REPORT 2024-01-29
ANNUAL REPORT 2023-04-05
ANNUAL REPORT 2022-04-13
ANNUAL REPORT 2021-04-12
ANNUAL REPORT 2020-06-09
ANNUAL REPORT 2019-02-07
ANNUAL REPORT 2018-01-16
ANNUAL REPORT 2017-04-12
ANNUAL REPORT 2016-03-22
ANNUAL REPORT 2015-04-28

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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