| Entity Name: | JENNIFER LIEU-CHI HARKINS MD, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 07 Sep 2016 (8 years ago) |
| Last Event: | CONVERSION |
| Event Date Filed: | 07 Sep 2016 (8 years ago) |
| Document Number: | P16000073399 |
| FEI/EIN Number | 462002750 |
| Address: | 2611 BAYSHORE BLVD #802, TAMPA, FL, 33629, US |
| Mail Address: | 2611 BAYSHORE BLVD #802, TAMPA, FL, 33629, US |
| ZIP code: | 33629 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386295301 | 2019-09-20 | 2019-09-20 | 2611 BAYSHORE BLVD APT 802, TAMPA, FL, 336297362, US | 5379 PRIMROSE LAKE CIR, TAMPA, FL, 336473521, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 310-869-7555 |
| Phone | +1 813-867-0800 |
Authorized person
| Name | DR. JENNIFER LIEU-CHI HARKINS |
| Role | CEO |
| Phone | 3108697555 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HARKINS JENNIFER | Agent | 2611 BAYSHORE BLVD #802, TAMPA, FL, 33629 |
| Name | Role | Address |
|---|---|---|
| HARKINS JENNIFER | Chief Executive Officer | 2611 BAYSHORE BLVD #802, TAMPA, FL, 33629 |
| Name | Role | Address |
|---|---|---|
| HARKINS JENNIFER | President | 2611 BAYSHORE BLVD #802, TAMPA, FL, 33629 |
| Name | Role | Address |
|---|---|---|
| HARKINS JENNIFER | Secretary | 2611 BAYSHORE BLVD #802, TAMPA, FL, 33629 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000137783 | TAMPA EYE ANESTHESIA | ACTIVE | 2023-11-09 | 2028-12-31 | No data | 4302 N. GOMEZ AVE., TAMPA, FL, 33607 |
| G16000088323 | ANESTHESIA CONCIERGE | ACTIVE | 2016-08-18 | 2026-12-31 | No data | 2611 BAYSHORE BLVD., #802, TAMPA, FL, 33629 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CONVERSION | 2016-09-07 | No data | CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS. CONVERSION NUMBER 900000163759 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-09 |
| ANNUAL REPORT | 2023-03-17 |
| ANNUAL REPORT | 2022-03-08 |
| ANNUAL REPORT | 2021-04-10 |
| ANNUAL REPORT | 2020-03-19 |
| ANNUAL REPORT | 2019-02-24 |
| ANNUAL REPORT | 2018-01-31 |
| ANNUAL REPORT | 2017-02-26 |
| Domestic Profit | 2016-09-07 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
