| Entity Name: | IDEAL MEDICAL CENTER OF TAMPA INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 16 Jul 2014 (11 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 05 Mar 2021 (4 years ago) |
| Document Number: | P14000060232 |
| FEI/EIN Number | 47-1349310 |
| Address: | 6821 W HILLSBOROUGH AVE, UNIT 10-11, TAMPA, FL, 33634, US |
| Mail Address: | 6821 W HILLSBOROUGH AVE, UNIT 10-11, TAMPA, FL, 33634, US |
| ZIP code: | 33634 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598172090 | 2014-07-16 | 2017-03-13 | 6821 W HILLSBOROUGH AVE, UNIT 10-11, TAMPA, FL, 336345003, US | 6821 W HILLSBOROUGH AVE, UNIT 10-11, TAMPA, FL, 336345003, US | |||||||||||||
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| Phone | +1 813-609-3983 |
Authorized person
| Name | YAMILE PUPO |
| Role | OWNER |
| Phone | 8136093983 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Heredia-Sastre Juan CSr. | Agent | 6821 W HILLSBOROUGH AVE, TAMPA, FL, 33634 |
| Name | Role | Address |
|---|---|---|
| PEREZ PARRA YANET D | Vice President | 8610 BARKWOOD PL, TAMPA, FL, 33615 |
| Name | Role | Address |
|---|---|---|
| Heredia-Sastre Juan C | President | 6821 W HILLSBOROUGH AVE, TAMPA, FL, 33634 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2021-03-05 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2021-02-13 | Heredia-Sastre, Juan Carlos, Sr. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-20 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-01-31 |
| Amendment | 2021-03-05 |
| ANNUAL REPORT | 2021-02-13 |
| ANNUAL REPORT | 2020-01-27 |
| ANNUAL REPORT | 2019-02-15 |
| ANNUAL REPORT | 2018-03-06 |
| ANNUAL REPORT | 2017-04-07 |
| ANNUAL REPORT | 2016-01-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
