| Entity Name: | BAY AREA NEURO CLINIC, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
BAY AREA NEURO CLINIC, 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: | 30 Jul 1992 (33 years ago) |
| Document Number: | V54180 |
| FEI/EIN Number |
593138074
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 6275 E FOWLER AVE, TEMPLE TERRACE, FL, 33617, US |
| Mail Address: | 6275 E FOWLER AVE, TEMPLE TERRACE, FL, 33617, US |
| ZIP code: | 33617 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194889709 | 2006-12-20 | 2020-08-22 | 6275 E FOWLER AVE, TEMPLE TERRACE, FL, 33617, US | 6275 E FOWLER AVE, TEMPLE TERRACE, FL, 33617, US | |||||||||||||||||||||
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| Phone | +1 813-985-3773 |
| Fax | 8139847171 |
Authorized person
| Name | JOSE VICENTE BUSTAMANTE |
| Role | PRESIDENT |
| Phone | 8139853773 |
Taxonomy
| Taxonomy Code | 225700000X - Massage Therapist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | C5112 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BUSTAMANTE, JOSE V. | President | 11008 RIDSEDALE RD., TAMPA, FL, 33617 |
| BUSTAMANTE, JOSE V. | Secretary | 11008 RIDSEDALE RD., TAMPA, FL, 33617 |
| JOSE V BUSTAMANNE | Agent | 11008 RIDGE DALE N RD, TEMPLE TERRRACE, FL, 33617 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2003-01-21 | 11008 RIDGE DALE N RD, TEMPLE TERRRACE, FL 33617 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2000-03-21 | 6275 E FOWLER AVE, TEMPLE TERRACE, FL 33617 | - |
| CHANGE OF MAILING ADDRESS | 2000-03-21 | 6275 E FOWLER AVE, TEMPLE TERRACE, FL 33617 | - |
| REGISTERED AGENT NAME CHANGED | 1996-04-11 | JOSE V BUSTAMANNE | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-09 |
| ANNUAL REPORT | 2023-03-06 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-01-06 |
| ANNUAL REPORT | 2019-01-11 |
| ANNUAL REPORT | 2018-04-12 |
| ANNUAL REPORT | 2017-01-11 |
| ANNUAL REPORT | 2016-01-12 |
| ANNUAL REPORT | 2015-01-14 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 9823377100 | 2020-04-15 | 0455 | PPP | 6275 E FOWLER AVE, Tampa, FL, 33617 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Apr 2025
Sources: Florida Department of State
