| Entity Name: | VINCENT DI CARLO, M.D., & ASSOCIATES, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 25 Sep 1990 (34 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 23 Dec 1992 (32 years ago) |
| Document Number: | S02678 |
| FEI/EIN Number | 59-3067346 |
| Address: | 2835 W. DE LEON ST., SUITE #205, TAMPA, FL 33609 |
| Mail Address: | 2835 W. DE LEON ST., SUITE #205, TAMPA, FL 33609 |
| ZIP code: | 33609 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1447525670 | 2012-03-21 | 2012-03-21 | 2835 W DE LEON ST STE 205, TAMPA, FL, 336094130, US | 2835 W DE LEON ST STE 205, TAMPA, FL, 336094130, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 813-831-6622 |
| Fax | 8138731295 |
Authorized person
| Name | DR. ROSANNA GARNER |
| Role | PRESIDENT |
| Phone | 8132821916 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| License Number | PY 5178 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 103T00000X - Psychologist |
| License Number | PY 6748 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 2084N0400X - Neurology Physician |
| License Number | ME 64395 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 2084N0400X - Neurology Physician |
| License Number | OS 8793 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT 26599 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 231H00000X - Audiologist |
| License Number | AY 31 |
| State | FL |
| Is Primary | No |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| VINCENT DI CARLO, M.D. & ASSOCIATES, P. A. 401(K) PLAN | 2010 | 593067346 | 2011-06-15 | VINCENT DI CARLO, M.D. & ASSOCIATES, P.A. | 19 | |||||||||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 593067346 |
| Plan administrator’s name | VINCENT DI CARLO, M.D. & ASSOCIATES, P.A. |
| Plan administrator’s address | 2835 W. DELEON STREET, ST. 205, TAMPA, FL, 33609 |
| Administrator’s telephone number | 8138316622 |
Number of participants as of the end of the plan year
| Active participants | 0 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 0 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 0 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Plan administrator |
| Date | 2011-06-15 |
| Name of individual signing | ANGELA OEHLER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| OEHLER, ANGELA S | Agent | 2835 W. DE LEON ST., SUITE #205, TAMPA, FL 33609 |
| Name | Role | Address |
|---|---|---|
| GARNER, ROSANNA M.D. | President | 2835 W. DE LEON ST.,, #205 TAMPA, FL 33609 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G00118900088 | NEUROLOGY AND PHYSICAL THERAPY CENTERS OF TAMPA BAY | ACTIVE | 2000-04-27 | 2025-12-31 | No data | 2835 W. DE LEON STREET, #205, TAMPA, FL, 33609 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2007-03-28 | 2835 W. DE LEON ST., SUITE #205, TAMPA, FL 33609 | No data |
| CHANGE OF MAILING ADDRESS | 2007-03-28 | 2835 W. DE LEON ST., SUITE #205, TAMPA, FL 33609 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-03-28 | 2835 W. DE LEON ST., SUITE #205, TAMPA, FL 33609 | No data |
| REGISTERED AGENT NAME CHANGED | 2003-05-01 | OEHLER, ANGELA S | No data |
| REINSTATEMENT | 1992-12-23 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1992-10-09 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-03-06 |
| ANNUAL REPORT | 2022-02-21 |
| ANNUAL REPORT | 2021-03-22 |
| ANNUAL REPORT | 2020-05-28 |
| ANNUAL REPORT | 2019-04-08 |
| ANNUAL REPORT | 2018-04-06 |
| ANNUAL REPORT | 2017-04-05 |
| ANNUAL REPORT | 2016-03-10 |
| ANNUAL REPORT | 2015-04-28 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
