| Entity Name: | TAMPA BAY HAND SURGERY CENTER, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 28 Feb 1994 (31 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 01 Aug 2014 (11 years ago) |
| Document Number: | P94000017129 |
| FEI/EIN Number | 59-3219434 |
| Address: | 13905 BRUCE B. DOWNS BLVD, SUITE B, TAMPA, FL 33613 |
| Mail Address: | 13905 BRUCE B. DOWNS BLVD, SUITE B, TAMPA, FL 33613 |
| ZIP code: | 33613 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932230141 | 2007-03-08 | 2022-02-18 | 13905 BRUCE B DOWNS BLVD, SUITE B, TAMPA, FL, 336133998, US | 13905 BRUCE B DOWNS BLVD, SUITE B, TAMPA, FL, 336133998, US | |||||||||||||||||||||||||||||||
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| Phone | +1 813-978-9494 |
| Fax | 8139794817 |
Authorized person
| Name | KHADER MUQTADIR |
| Role | OWNER/PRESIDENT |
| Phone | 8139789494 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| License Number | 1078 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | DOL |
| Number | 16180500 |
| State | FL |
| Issuer | FL STATE LICENSE |
| Number | 1078 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Muqtadir, Khader, Dr. | Agent | 13905 BRUCE B. DOWNS BLVD, SUITE B, TAMPA, FL 33613 |
| Name | Role | Address |
|---|---|---|
| MUQTADIR, KHADER, Dr. | President | 13905 BRUCE B. DOWNS BLVD, SUITE B TAMPA, FL 33613 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000085378 | TAMPA BAY HAND SURGERY CENTER | ACTIVE | 2014-08-19 | 2025-12-31 | No data | 13905 BRUCE B. DOWNS BOULEVARD, SUITE B, TAMPA, FL, 33613 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2015-03-05 | Muqtadir, Khader, Dr. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-03-05 | 13905 BRUCE B. DOWNS BLVD, SUITE B, TAMPA, FL 33613 | No data |
| NAME CHANGE AMENDMENT | 2014-08-01 | TAMPA BAY HAND SURGERY CENTER, P.A. | No data |
| AMENDMENT AND NAME CHANGE | 2009-05-07 | TAMPA BAY HAND CENTER AMBULATORY SURGERY DIVISION, P.A. | No data |
| NAME CHANGE AMENDMENT | 1998-03-02 | TAMPA BAY HAND CENTER AMBULATORY SURGERY DIVISION, INC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-09 |
| ANNUAL REPORT | 2023-01-26 |
| ANNUAL REPORT | 2022-01-17 |
| ANNUAL REPORT | 2021-02-05 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-03-01 |
| ANNUAL REPORT | 2018-01-19 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-01-26 |
| ANNUAL REPORT | 2015-03-05 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
