| Entity Name: | TAMPA BAY COMMUNITY MENTAL HEALTH SERVICES INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 05 Apr 2021 (4 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | P21000032780 |
| Address: | 12421 N FLORIDA AVENUE, SUITE 201, TAMPA, FL, 33612 |
| Mail Address: | 12421 N FLORIDA AVENUE, SUITE 201, TAMPA, FL, 33612 |
| ZIP code: | 33612 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851973523 | 2021-04-22 | 2021-04-22 | 12421 N FLORIDA AVE STE 201, TAMPA, FL, 336124277, US | 12421 N FLORIDA AVE STE 201, TAMPA, FL, 336124277, US | |||||||||||||||||||
|
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| Phone | +1 813-930-0999 |
| Fax | 8134335626 |
Authorized person
| Name | YADIRA PEGUERO MARIN |
| Role | PRESIDENT |
| Phone | 8139300999 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| PEGUERO MARIN YADIRA | Agent | 12421 N FLORIDA AVENUE, TAMPA, FL, 33612 |
| Name | Role | Address |
|---|---|---|
| PEGUERO MARIN YADIRA | President | 12421 N FLORIDA AVENUE, TAMPA, FL, 33612 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2021-04-05 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
