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
Changed: 04/03/2018
13801 Bruce B Downs Blvd
302
Tampa, FL 33613
302
Tampa, FL 33613
Changed: 04/03/2018
Mailing Address
Changed: 04/03/2018
13801 Bruce B Downs Blvd
302
TAMPA, FL 33613
302
TAMPA, FL 33613
Changed: 04/03/2018
Registered Agent Name & Address
Elchahal, Sami, Dr.
Name Changed: 03/22/2016
Address Changed: 04/03/2018
13801 Bruce B Downs Blvd
302
TAMPA, FL 33613
302
TAMPA, FL 33613
Name Changed: 03/22/2016
Address Changed: 04/03/2018
Officer/Director Detail
Name & Address
Title President
Elchahal, Sami Dr.
Title Director
Braun, Edward, Dr.
Title Secretary
Caradonna, Joseph MD, Dr.
Title Director
Abskhroun, Hany, Dr.
Title Director
Boghadadi, Mona, Dr.
Title Director
Pittman, Christopher, Dr.
Title Director
Newton, Michael, Dr.
Title VP
O'Neal, Henry, Dr.
Title Director
Ballal, Natraj, Dr.
Title Ex Officio
Hyatt, Henry, Dr.
Title President
Elchahal, Sami Dr.
13801 Bruce B Downs Blvd
302
Tampa, FL 33613
302
Tampa, FL 33613
Title Director
Braun, Edward, Dr.
13801 Bruce B Downs Blvd
302
Tampa, FL 33613
302
Tampa, FL 33613
Title Secretary
Caradonna, Joseph MD, Dr.
13801 Bruce B Downs Blvd
302
Tampa, FL 33613
302
Tampa, FL 33613
Title Director
Abskhroun, Hany, Dr.
13801 Bruce B Downs Blvd
302
Tampa, FL 33613
302
Tampa, FL 33613
Title Director
Boghadadi, Mona, Dr.
13801 Bruce B Downs Blvd
302
Tampa, FL 33613
302
Tampa, FL 33613
Title Director
Pittman, Christopher, Dr.
13801 Bruce B Downs Blvd
302
Tampa, FL 33613
302
Tampa, FL 33613
Title Director
Newton, Michael, Dr.
13801 Bruce B Downs Blvd
302
Tampa, FL 33613
302
Tampa, FL 33613
Title VP
O'Neal, Henry, Dr.
13801 Bruce B Downs Blvd
302
Tampa, FL 33613
302
Tampa, FL 33613
Title Director
Ballal, Natraj, Dr.
13801 Bruce B Downs Blvd
302
Tampa, FL 33613
302
Tampa, FL 33613
Title Ex Officio
Hyatt, Henry, Dr.
13801 Bruce B Downs Blvd
302
Tampa, FL 33613
302
Tampa, FL 33613
Annual Reports
Report Year | Filed Date |
2018 | 04/03/2018 |
2019 | 03/28/2019 |
2020 | 01/28/2020 |
Document Images