| Entity Name: | TAMPA BAY NEUROLOGY INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 26 Jun 2014 (11 years ago) |
| Document Number: | P14000055307 |
| FEI/EIN Number | 47-1213043 |
| Address: | 8370 W HILLSBOROUGH AVE, SUITE 106, TAMPA, FL 33615 |
| Mail Address: | 8370 W HILLSBOROUGH AVE, SUITE 106, TAMPA, FL 33615 |
| ZIP code: | 33615 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952797920 | 2015-04-07 | 2015-04-07 | PO BOX 263491, TAMPA, FL, 336853491, US | 6101 WEBB RD, SUITE 203, TAMPA, FL, 336152872, US | |||||||||||||||||||
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| Phone | +1 813-765-5693 |
Authorized person
| Name | DR. BHARATKUMAR PATEL |
| Role | PRESIDENT |
| Phone | 8137655693 |
Taxonomy
| Taxonomy Code | 2084N0400X - Neurology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | FL MEDICAL LICENSE |
| Number | ME103373 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PATEL, BHARATKUMAR | Agent | 8370 W HILLSBOROUGH AVE, 103, TAMPA, FL 33615 |
| Name | Role | Address |
|---|---|---|
| PATEL, BHARATKUMAR | President | 6913 SILVER SAGE CR, TAMPA, FL 33636 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-10-02 | 8370 W HILLSBOROUGH AVE, SUITE 106, TAMPA, FL 33615 | No data |
| CHANGE OF MAILING ADDRESS | 2024-10-02 | 8370 W HILLSBOROUGH AVE, SUITE 106, TAMPA, FL 33615 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-04-22 | 8370 W HILLSBOROUGH AVE, 103, TAMPA, FL 33615 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-04-25 |
| ANNUAL REPORT | 2022-03-08 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-06-23 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-04-26 |
| ANNUAL REPORT | 2017-04-26 |
| ANNUAL REPORT | 2016-04-22 |
| ANNUAL REPORT | 2015-03-23 |
Date of last update: 21 Jan 2025
Sources: Florida Department of State
