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TAMBOLINA ADULT DAY CARE, INC

Company Details

Entity Name: TAMBOLINA ADULT DAY CARE, INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 15 Oct 2019 (5 years ago)
Document Number: P19000076938
FEI/EIN Number 83-4309484
Mail Address: 1627 ROGERO ROAD, JACKSONVILLE, FL, 32211
Address: 1627 ROGERO ROAD, JACKSONVILLE, FL, 32211, US
ZIP code: 32211
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1083220560 2020-09-19 2020-09-19 1627 ROGERO RD STE C, JACKSONVILLE, FL, 322114866, US 1627 ROGERO RD STE C, JACKSONVILLE, FL, 322114866, US

Contacts

Phone +1 904-553-1013
Fax 9042400309

Authorized person

Name MRS. LINDA FUSTER MOMORIE
Role ADMINISTRATOR
Phone 9046511310

Taxonomy

Taxonomy Code 261QA0600X - Adult Day Care Clinic/Center
Is Primary Yes

Agent

Name Role Address
MOMORIE TAMBA MDr. Agent 11976 IRON CREEK ROAD, JACKSONVILLE, FL, 32218

President

Name Role Address
MOMORIE TAMBA M President 11976 Iron Creek Road, Jacksonville, FL, 32218

Vice President

Name Role Address
MOMORIE LINDA F Vice President 11976 Iron Creek Road, Jacksonville, FL, 32218

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-03-05 1627 ROGERO ROAD, Suite C, JACKSONVILLE, FL 32211 No data
REGISTERED AGENT NAME CHANGED 2024-03-05 MOMORIE, TAMBA MANYA, Dr. No data

Documents

Name Date
ANNUAL REPORT 2024-03-05
ANNUAL REPORT 2023-03-14
ANNUAL REPORT 2022-02-24
ANNUAL REPORT 2021-03-15
ANNUAL REPORT 2020-03-19
Domestic Profit 2019-10-15

Date of last update: 02 Feb 2025

Sources: Florida Department of State