Detail by Officer/Registered Agent Name
Florida Not For Profit Corporation
UNIVERSITY COMMUNITY INDEPENDENT PRACTICE ASSOCIATION, INC.
Filing Information
N93000004260
59-3206688
09/17/1993
09/13/1993
FL
ACTIVE
CORPORATE MERGER
01/30/2020
NONE
Principal Address
Changed: 04/17/2018
13801 Bruce B Down Blvd
SUITE 302
TAMPA, FL 33613
SUITE 302
TAMPA, FL 33613
Changed: 04/17/2018
Mailing Address
Changed: 04/17/2018
13801 Bruce B Down Blvd
SUITE 302
TAMPA, FL 33613
SUITE 302
TAMPA, FL 33613
Changed: 04/17/2018
Registered Agent Name & Address
Boghdadi, Mona, Dr.
Name Changed: 02/12/2016
Address Changed: 04/17/2018
13801 Bruce B Down Blvd
SUITE 302
TAMPA, FL 33613
SUITE 302
TAMPA, FL 33613
Name Changed: 02/12/2016
Address Changed: 04/17/2018
Officer/Director Detail
Name & Address
Title VP
Boghdadi, Mona, Dr.
Title Director
Ballal, Natraj, Dr.
Title Director
Abskhroun, Hany, MD
Title Director
Elchahal, Sami, MD
Title President
Newton, Michael, MD
Title Secretary/Treasurer
O'Neal, Henry, MD
Title Director
Pittman, Christopher, Dr
Title Director
BHATIA, ANIL, Dr.
Title Director
DUROJAIYE, BABATOLA, Dr.
Title Director
Starling, Jeffrey, Dr.
Title VP
Boghdadi, Mona, Dr.
13801 Bruce B Down Blvd
SUITE 302
TAMPA, FL 33613
SUITE 302
TAMPA, FL 33613
Title Director
Ballal, Natraj, Dr.
13801 Bruce B Down Blvd
SUITE 302
TAMPA, FL 33613
SUITE 302
TAMPA, FL 33613
Title Director
Abskhroun, Hany, MD
13801 Bruce B Down Blvd
SUITE 302
TAMPA, FL 33613
SUITE 302
TAMPA, FL 33613
Title Director
Elchahal, Sami, MD
13801 Bruce B Down Blvd
SUITE 302
TAMPA, FL 33613
SUITE 302
TAMPA, FL 33613
Title President
Newton, Michael, MD
13801 Bruce B Down Blvd
SUITE 302
TAMPA, FL 33613
SUITE 302
TAMPA, FL 33613
Title Secretary/Treasurer
O'Neal, Henry, MD
13801 Bruce B Down Blvd
SUITE 302
TAMPA, FL 33613
SUITE 302
TAMPA, FL 33613
Title Director
Pittman, Christopher, Dr
13801 Bruce B Down Blvd
SUITE 302
TAMPA, FL 33613
SUITE 302
TAMPA, FL 33613
Title Director
BHATIA, ANIL, Dr.
13801 Bruce B Downs Blvd
Ste 302
Tampa, FL 33613
Ste 302
Tampa, FL 33613
Title Director
DUROJAIYE, BABATOLA, Dr.
13801 Bruce B Downs Blvd
Ste 302
Tampa, FL 33613
Ste 302
Tampa, FL 33613
Title Director
Starling, Jeffrey, Dr.
13801 Bruce B Downs Blvd
Ste 302
Tampa, FL 33613
Ste 302
Tampa, FL 33613
Annual Reports
Report Year | Filed Date |
2023 | 01/18/2023 |
2023 | 01/29/2023 |
2024 | 01/27/2024 |
Document Images