| Entity Name: | TAMPA BAY MEDICAL MENTAL & BEHAVIORAL HEALTH SERVICES INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 23 May 2018 (7 years ago) |
| Document Number: | P18000047396 |
| FEI/EIN Number | 83-0634705 |
| Address: | 8910 N DALE MABRY HWY, STE 17, TAMPA, FL, 33614, US |
| Mail Address: | 8910 N DALE MABRY HWY, STE 17, TAMPA, FL, 33614, US |
| ZIP code: | 33614 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689287351 | 2020-08-24 | 2020-08-24 | 8910 N DALE MABRY HWY STE 17, TAMPA, FL, 336141580, US | 8910 N DALE MABRY HWY STE 17, TAMPA, FL, 336141580, US | |||||||||||||||
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| Phone | +1 813-485-8190 |
| Fax | 8134637975 |
Authorized person
| Name | DR. DONALD LEE PIPPIN |
| Role | CEO |
| Phone | 8134858190 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| THE SOVEREIGN MILITARY HOSPITALLER KNIGHTS | Agent | 8910 N DALE MABRY HWY, TAMPA, FL, 33614 |
| Name | Role | Address |
|---|---|---|
| THE SOVEREIGN MILITARY HOSPITALLER KNIGH | Director | 8910 N DALE MABRY HWY STE 17, TAMPA, FL, 33614 |
| Name | Role | Address |
|---|---|---|
| THE SOVEREIGN MILITARY HOSPITALLER KNIGH | Manager | 8910 N DALE MABRY HWY STE 17, TAMPA, FL, 33614 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-04-20 |
| ANNUAL REPORT | 2021-04-26 |
| ANNUAL REPORT | 2020-04-14 |
| ANNUAL REPORT | 2019-04-05 |
| Domestic Profit | 2018-05-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
