Detail by Officer/Registered Agent Name

Florida Profit Corporation

TAMPA BAY PROVIDER GROUP, INC.

Filing Information
P95000059692 59-3339351 08/02/1995 FL INACTIVE CORPORATE MERGER 01/30/2020 NONE
Principal Address
13801 Bruce B Downs Blvd
302
Tampa, FL 33613

Changed: 04/03/2018
Mailing Address
13801 Bruce B Downs Blvd
302
TAMPA, FL 33613

Changed: 04/03/2018
Registered Agent Name & Address Elchahal, Sami, Dr.
13801 Bruce B Downs Blvd
302
TAMPA, FL 33613

Name Changed: 03/22/2016

Address Changed: 04/03/2018
Officer/Director Detail Name & Address

Title President

Elchahal, Sami Dr.
13801 Bruce B Downs Blvd
302
Tampa, FL 33613

Title Director

Braun, Edward, Dr.
13801 Bruce B Downs Blvd
302
Tampa, FL 33613

Title Secretary

Caradonna, Joseph MD, Dr.
13801 Bruce B Downs Blvd
302
Tampa, FL 33613

Title Director

Abskhroun, Hany, Dr.
13801 Bruce B Downs Blvd
302
Tampa, FL 33613

Title Director

Boghadadi, Mona, Dr.
13801 Bruce B Downs Blvd
302
Tampa, FL 33613

Title Director

Pittman, Christopher, Dr.
13801 Bruce B Downs Blvd
302
Tampa, FL 33613

Title Director

Newton, Michael, Dr.
13801 Bruce B Downs Blvd
302
Tampa, FL 33613

Title VP

O'Neal, Henry, Dr.
13801 Bruce B Downs Blvd
302
Tampa, FL 33613

Title Director

Ballal, Natraj, Dr.
13801 Bruce B Downs Blvd
302
Tampa, FL 33613

Title Ex Officio

Hyatt, Henry, Dr.
13801 Bruce B Downs Blvd
302
Tampa, FL 33613

Annual Reports
Report YearFiled Date
2018 04/03/2018
2019 03/28/2019
2020 01/28/2020