| Entity Name: | TAMPA BAY PROVIDER GROUP, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 02 Aug 1995 (30 years ago) |
| Date of dissolution: | 30 Jan 2020 (5 years ago) |
| Last Event: | CORPORATE MERGER |
| Event Date Filed: | 30 Jan 2020 (5 years ago) |
| Document Number: | P95000059692 |
| FEI/EIN Number | 59-3339351 |
| Address: | 13801 Bruce B Downs Blvd, 302, Tampa, FL 33613 |
| Mail Address: | 13801 Bruce B Downs Blvd, 302, TAMPA, FL 33613 |
| ZIP code: | 33613 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| Elchahal, Sami, Dr. | Agent | 13801 Bruce B Downs Blvd, 302, TAMPA, FL 33613 |
| Name | Role | Address |
|---|---|---|
| Elchahal, Sami Dr. | President | 13801 Bruce B Downs Blvd, 302 Tampa, FL 33613 |
| Name | Role | Address |
|---|---|---|
| Braun, Edward, Dr. | Director | 13801 Bruce B Downs Blvd, 302 Tampa, FL 33613 |
| Abskhroun, Hany, Dr. | Director | 13801 Bruce B Downs Blvd, 302 Tampa, FL 33613 |
| Boghadadi, Mona, Dr. | Director | 13801 Bruce B Downs Blvd, 302 Tampa, FL 33613 |
| Pittman, Christopher, Dr. | Director | 13801 Bruce B Downs Blvd, 302 Tampa, FL 33613 |
| Newton, Michael, Dr. | Director | 13801 Bruce B Downs Blvd, 302 Tampa, FL 33613 |
| Ballal, Natraj, Dr. | Director | 13801 Bruce B Downs Blvd, 302 Tampa, FL 33613 |
| Name | Role | Address |
|---|---|---|
| Caradonna, Joseph MD, Dr. | Secretary | 13801 Bruce B Downs Blvd, 302 Tampa, FL 33613 |
| Name | Role | Address |
|---|---|---|
| O'Neal, Henry, Dr. | Vice President | 13801 Bruce B Downs Blvd, 302 Tampa, FL 33613 |
| Name | Role | Address |
|---|---|---|
| Hyatt, Henry, Dr. | Ex Officio | 13801 Bruce B Downs Blvd, 302 Tampa, FL 33613 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| MERGER | 2020-01-30 | No data | CORPORATION WAS PART OF A MERGER. QUALIFIED CORPORATION WAS N93000004260. MERGER NUMBER 700000199747 |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-04-03 | 13801 Bruce B Downs Blvd, 302, TAMPA, FL 33613 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-03 | 13801 Bruce B Downs Blvd, 302, Tampa, FL 33613 | No data |
| CHANGE OF MAILING ADDRESS | 2018-04-03 | 13801 Bruce B Downs Blvd, 302, Tampa, FL 33613 | No data |
| REGISTERED AGENT NAME CHANGED | 2016-03-22 | Elchahal, Sami, Dr. | No data |
| MERGER | 2008-06-30 | No data | CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 300000088723 |
| CANCEL ADM DISS/REV | 2005-03-02 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2004-10-01 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-01-28 |
| ANNUAL REPORT | 2019-03-28 |
| ANNUAL REPORT | 2018-04-03 |
| ANNUAL REPORT | 2017-04-04 |
| ANNUAL REPORT | 2016-03-22 |
| ANNUAL REPORT | 2015-02-03 |
| ANNUAL REPORT | 2014-03-07 |
| ANNUAL REPORT | 2013-05-08 |
| ANNUAL REPORT | 2012-03-26 |
| ANNUAL REPORT | 2011-04-20 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
