| Entity Name: | DIS OF TAMPA BAY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 04 Mar 2019 (6 years ago) |
| Document Number: | P19000020609 |
| FEI/EIN Number | 83-3963563 |
| Address: | 3635 W WATERS AVE, TAMPA, FL, 33614 |
| Mail Address: | 3635 W WATERS AVE, TAMPA, FL, 33614 |
| ZIP code: | 33614 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609422146 | 2019-08-12 | 2020-01-30 | 3635 W WATERS AVE, TAMPA, FL, 336142783, US | 3635 W WATERS AVE, TAMPA, FL, 336142783, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 813-724-3310 |
| Fax | 8132804923 |
| Phone | +1 813-408-9161 |
Authorized person
| Name | MS. LESSY RODRIGUEZ |
| Role | ADMINISTRATOR |
| Phone | 8137243310 |
Taxonomy
| Taxonomy Code | 261QR0200X - Radiology Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ESCOBAR JORGE L | Agent | 2706 W ABDELLA STREET, TAMPA, FL, 33607 |
| Name | Role | Address |
|---|---|---|
| ESCOBA JORGE | President | 2706 W ABDELLA AVENUE, TAMPA, FL, 33607 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000023873 | NEW VISTA DIAGNOSTIC OF FOUNTAIN OAKS | ACTIVE | 2021-02-18 | 2026-12-31 | No data | 3635 W WATERS AVE, TAMPA, FL, 33614 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-01 |
| ANNUAL REPORT | 2023-01-27 |
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-01-12 |
| ANNUAL REPORT | 2020-04-02 |
| Domestic Profit | 2019-03-04 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
