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FLORIDA CLINICAL QUALITY PHYSICIANS INC.

Company Details

Entity Name: FLORIDA CLINICAL QUALITY PHYSICIANS INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 12 Jun 2017 (8 years ago)
Document Number: P17000051583
FEI/EIN Number 82-1889771
Address: 2202 N WEST SHORE BLVD, SUITE 200, TAMPA, FL, 33607
Mail Address: 2202 N WEST SHORE BLVD, SUITE 200, TAMPA, FL, 33607
ZIP code: 33607
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1649780354 2017-10-08 2017-10-08 2202 N WEST SHORE BLVD STE 200, TAMPA, FL, 336075749, US 2202 N WEST SHORE BLVD STE 200, TAMPA, FL, 336075749, US

Contacts

Phone +1 813-639-4296

Authorized person

Name MR. TOM WECKERLE
Role EXECUTIVE DIRECTOR
Phone 8136394296

Taxonomy

Taxonomy Code 251B00000X - Case Management Agency
Is Primary Yes

Agent

Name Role Address
Fishman Warren S Agent 2202 N WEST SHORE BLVD, TAMPA, FL, 33607

Director

Name Role Address
PARIKH NARESH Director 9210 PRESTWICK CLUB DRIVE, DULUTH, GA, 30097

Vice President

Name Role Address
Fishman Warren S Vice President 2202 N WEST SHORE BLVD, TAMPA, FL, 33607

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2022-01-28 Fishman, Warren S No data

Documents

Name Date
ANNUAL REPORT 2024-03-21
ANNUAL REPORT 2023-04-06
ANNUAL REPORT 2022-01-28
ANNUAL REPORT 2021-01-28
ANNUAL REPORT 2020-01-27
ANNUAL REPORT 2019-01-28
ANNUAL REPORT 2018-03-15
Domestic Profit 2017-06-12

Date of last update: 01 Feb 2025

Sources: Florida Department of State