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ISRAEL CRESPO, M.D., P.A. - Florida Company Profile

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Company Details

Entity Name: ISRAEL CRESPO, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 26 Feb 1996 (29 years ago)
Document Number: P96000018938
FEI/EIN Number 593355401
Address: 6919 N DALE MABRY HWY, SUITE 250, TAMPA, FL, 33614, US
Mail Address: 6919 N DALE MABRY HWY, SUITE 250, TAMPA, FL, 33614, US
ZIP code: 33614
City: Tampa
County: Hillsborough
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
CRESPO ISRAEL Director 6919 N. DALE MABRY HWY. SUITE 250, TAMPA, FL, 33614
Crespo Blanca I Agent 6919 N. Dale Mabry Hwy. Suite 250, TAMPA, FL, 33614

National Provider Identifier

NPI Number:
1598934143
Certification Date:
2022-08-02

Authorized Person:

Name:
YOLANDA ROSARIO
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
8139321856

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G16000109537 THE BALLOON MD ACTIVE 2016-10-07 2026-12-31 - 6919 N. DALE MABRY HWY., SUITE 320, TAMPA, FL, 33614

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-02-07 6919 N DALE MABRY HWY, SUITE 250, TAMPA, FL 33614 -
CHANGE OF MAILING ADDRESS 2023-02-27 6919 N DALE MABRY HWY, SUITE 250, TAMPA, FL 33614 -
REGISTERED AGENT ADDRESS CHANGED 2023-02-27 6919 N. Dale Mabry Hwy. Suite 250, TAMPA, FL 33614 -
REGISTERED AGENT NAME CHANGED 2019-02-22 Crespo , Blanca I -

Documents

Name Date
ANNUAL REPORT 2024-02-07
ANNUAL REPORT 2023-02-27
ANNUAL REPORT 2022-03-09
ANNUAL REPORT 2021-03-11
ANNUAL REPORT 2020-04-01
ANNUAL REPORT 2019-02-22
ANNUAL REPORT 2018-03-09
ANNUAL REPORT 2017-02-15
ANNUAL REPORT 2016-01-28
ANNUAL REPORT 2015-02-02

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Date of last update: 03 Aug 2025

Sources: Florida Department of State