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  5. TAMPA BAY INTERNAL MEDICINE, INC.

TAMPA BAY INTERNAL MEDICINE, INC. - Florida Company Profile

Company Details

Entity Name: TAMPA BAY INTERNAL MEDICINE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

TAMPA BAY INTERNAL MEDICINE, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 28 Jan 1998 (27 years ago)
Document Number: P98000008756
FEI/EIN Number 593489654

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 1939 HIGHLAND OAKS BLVD, LUTZ, FL, 33559, US
Mail Address: 1939 HIGHLAND OAKS BLVD, LUTZ, FL, 33559, US
ZIP code: 33559
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1235191362 2006-04-04 2011-08-26 1939 HIGHLAND OAKS BLVD, LUTZ, FL, 335597323, US 1939 HIGHLAND OAKS BLVD, LUTZ, FL, 335597323, US

Contacts
Phone +1 813-948-1234
Fax 8139498408

Authorized person
Name MR. JERAMBHAI T KANKOTIA
Role DOCTOR
Phone 8139481234

Taxonomy
Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TAMPA BAY INTERNAL MEDICINE INC 401K PLAN AND TRUST 2023 593489654 2024-02-21 TAMPA BAY INTERNAL MEDICINE INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8139513876
Plan sponsor’s address 1939 HIGHLAND OAKS BLVD, LUTZ, FL, 33559

Signature of
Role Plan administrator
Date 2024-02-21
Name of individual signing JERAMBHAI KANKOTIA
Valid signature Filed with authorized/valid electronic signature
TAMPA BAY INTERNAL MEDICINE INC 401K PLAN AND TRUST 2022 593489654 2023-03-07 TAMPA BAY INTERNAL MEDICINE INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8139513876
Plan sponsor’s address 1939 HIGHLAND OAKS BLVD, LUTZ, FL, 33559

Signature of
Role Plan administrator
Date 2023-03-07
Name of individual signing JERAMBHAI KANKOTIA
Valid signature Filed with authorized/valid electronic signature
TAMPA BAY INTERNAL MEDICINE INC 401K PLAN AND TRUST 2021 593489654 2022-01-31 TAMPA BAY INTERNAL MEDICINE INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8139513876
Plan sponsor’s address 1939 HIGHLAND OAKS BLVD, LUTZ, FL, 33559

Signature of
Role Plan administrator
Date 2022-01-31
Name of individual signing JERAMBHAI KANKOTIA
Valid signature Filed with authorized/valid electronic signature
TAMPA BAY INTERNAL MEDICINE INC 401K PLAN AND TRUST 2020 593489654 2021-05-13 TAMPA BAY INTERNAL MEDICINE INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8139513876
Plan sponsor’s address 1939 HIGHLAND OAKS BLVD, LUTZ, FL, 33559

Signature of
Role Plan administrator
Date 2021-05-13
Name of individual signing JERAMBHAI KANKOTIA
Valid signature Filed with authorized/valid electronic signature
TAMPA BAY INTERNAL MEDICINE INC 401K PLAN AND TRUST 2019 593489654 2020-03-05 TAMPA BAY INTERNAL MEDICINE INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8139513876
Plan sponsor’s address 1939 HIGHLAND OAKS BLVD, LUTZ, FL, 33559

Signature of
Role Plan administrator
Date 2020-03-05
Name of individual signing JERAMBHAI KANKOTIA
Valid signature Filed with authorized/valid electronic signature
TAMPA BAY INTERNAL MEDICINE INC 401K PLAN AND TRUST 2018 593489654 2019-09-26 TAMPA BAY INTERNAL MEDICINE INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8139513876
Plan sponsor’s address 1939 HIGHLAND OAKS BLVD, LUTZ, FL, 33559

Signature of
Role Plan administrator
Date 2019-09-26
Name of individual signing JERAMBHAI KANKOTIA
Valid signature Filed with authorized/valid electronic signature
TAMPA BAY INTERNAL MEDICINE INC 401K PLAN AND TRUST 2017 593489654 2018-07-16 TAMPA BAY INTERNAL MEDICINE INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8139513876
Plan sponsor’s address 1939 HIGHLAND OAKS BLVD, LUTZ, FL, 33559

Signature of
Role Plan administrator
Date 2018-07-16
Name of individual signing JERAMBHAI KANKOTIA
Valid signature Filed with authorized/valid electronic signature
TAMPA BAY INTERNAL MEDICINE INC 401K PLAN AND TRUST 2016 593489654 2017-05-25 TAMPA BAY INTERNAL MEDICINE INC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8139513876
Plan sponsor’s address 1939 HIGHLAND OAKS BLVD, LUTZ, FL, 33559

Signature of
Role Plan administrator
Date 2017-05-25
Name of individual signing JERAMBHAI KANKOTIA
Valid signature Filed with authorized/valid electronic signature
TAMPA BAY INTERNAL MEDICINE INC 401K PLAN AND TRUST 2015 593489654 2016-04-19 TAMPA BAY INTERNAL MEDICINE INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8139513876
Plan sponsor’s address 1939 HIGHLAND OAKS BLVD, LUTZ, FL, 33559

Signature of
Role Plan administrator
Date 2016-04-19
Name of individual signing JERAMBHAI KANKOTIA
Valid signature Filed with authorized/valid electronic signature
TAMPA BAY INTERNAL MEDICINE INC 401K PLAN AND TRUST 2014 593489654 2015-07-16 TAMPA BAY INTERNAL MEDICINE INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8139513876
Plan sponsor’s address 1939 HIGHLAND OAKS BLVD, LUTZ, FL, 33559

Signature of
Role Plan administrator
Date 2015-07-16
Name of individual signing JERAMBHAI KANKOTIA
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
KANKOTIA JERAM TDr. Officer 1939 HIGHLAND OAKS BLVD, LUTZ, FL, 33559
KANKOTIA JERAM TDr. Agent 1939 HIGHLAND OAKS BLVD, LUTZ, FL, 33559

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2015-03-29 KANKOTIA, JERAM T, Dr. -
CHANGE OF PRINCIPAL ADDRESS 2012-03-04 1939 HIGHLAND OAKS BLVD, LUTZ, FL 33559 -
CHANGE OF MAILING ADDRESS 2012-03-04 1939 HIGHLAND OAKS BLVD, LUTZ, FL 33559 -
REGISTERED AGENT ADDRESS CHANGED 2012-03-04 1939 HIGHLAND OAKS BLVD, LUTZ, FL 33559 -

Documents

Name Date
ANNUAL REPORT 2024-02-28
ANNUAL REPORT 2023-03-07
ANNUAL REPORT 2022-02-03
ANNUAL REPORT 2021-01-15
ANNUAL REPORT 2020-04-23
ANNUAL REPORT 2019-04-27
ANNUAL REPORT 2018-02-28
ANNUAL REPORT 2017-03-09
ANNUAL REPORT 2016-03-10
ANNUAL REPORT 2015-03-29

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9786287707 2020-05-01 0455 PPP 1939 Highland Oaks Blvd,, Lutz, FL, 33559
Loan Status Date 2021-04-09
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 71500
Loan Approval Amount (current) 71500
Undisbursed Amount 0
Franchise Name -
Lender Location ID 2408
Servicing Lender Name Regions Bank
Servicing Lender Address 1900 Fifth Avenue North, BIRMINGHAM, AL, 35203
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Lutz, PASCO, FL, 33559-1800
Project Congressional District FL-15
Number of Employees 5
NAICS code 621999
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Self-Employed Individuals
Originating Lender ID 2408
Originating Lender Name Regions Bank
Originating Lender Address BIRMINGHAM, AL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 72072
Forgiveness Paid Date 2021-02-25

Companies related by officers

No other companies in our directory share the same officers as TAMPA BAY INTERNAL MEDICINE, INC.

Companies related by address

1939 HIGHLAND OAKS BLVD, LUTZ, FL, 33559, US

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1939 HIGHLAND OAKS BLVD, LUTZ, FL, 33559, US

PURSKIN AESTHETICS, INC HAWKS, EAGLE AND ASSOCIATES, LLC

Date of last update: 02 Apr 2025

Sources: Florida Department of State

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