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FLORIDA BEHAVIORAL INSTITUTE, P.L.C.

FLORIDA BEHAVIORAL INSTITUTE, P.L.C. - Florida Company Profile

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Company Details

Entity Name:	FLORIDA BEHAVIORAL INSTITUTE, P.L.C.
Jurisdiction:	FLORIDA
Filing Type:	Florida Limited Liability Co.
Status:	Active
Date Filed:	30 Nov 2001 (24 years ago)
Last Event:	REINSTATEMENT
Event Date Filed:	01 Jul 2005 (20 years ago)
Document Number:	L01000020651
FEI/EIN Number	593758359
Address:	1100 CLEARWATER LARGO ROAD, LARGO, FL, 33770, US
Mail Address:	1100 CLEARWATER LARGO ROAD, LARGO, FL, 33770, US
ZIP code:	33770
City:	Largo
County:	Pinellas
Place of Formation:	FLORIDA

Key Officers & Management

Name	Role	Address
MAYER ROBERT M	Managing Member	1100 CLEARWATER LARGO RD, LARGO, FL, 33770
PATEL ASHOK M	Managing Member	1100 CLEARWATER LARGO RD, LARGO, FL, 33770
AGUSTINES RACHEL E	Managing Member	1100 CLEARWATER LARGO ROAD, LARGO, FL, 33770
SHAH NIHAL M	Managing Member	1100 CLEARWATER LARGO ROAD, LARGO, FL, 33770
Patel Ashok	Agent	1100 CLEARWATER LARGO ROAD, LARGO, FL, 33770

National Provider Identifier

NPI Number:

1770594665

Certification Date:

2024-09-20

Link:

View on NPI website

Authorized Person:

Name:

DR. ASHOK M PATEL

Role:

SECRETARY TREASURER

Phone:

7275186444

Taxonomy:

Selected Taxonomy:

2084P0800X - Psychiatry Physician

Is Primary:

No

Selected Taxonomy:

2084P0804X - Child & Adolescent Psychiatry Physician

Is Primary:

No

Selected Taxonomy:

2084P0805X - Geriatric Psychiatry Physician

Is Primary:

No

Selected Taxonomy:

261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center

Is Primary:

Yes

Contacts:

Phone:

+1 727-518-6444

Fax:

7275812678

Form 5500 Series

Employer Identification Number (EIN):

593758359

Plan Year:

2017

Number Of Participants:

20

Sponsors Telephone Number:

7275186444

File:

Plan Year:

2016

Number Of Participants:

16

Sponsors Telephone Number:

7275186444

File:

Plan Year:

2015

Number Of Participants:

17

Sponsors Telephone Number:

7275186444

File:

Plan Year:

2014

Number Of Participants:

16

Sponsors Telephone Number:

7275186444

File:

Plan Year:

2013

Number Of Participants:

15

Sponsors Telephone Number:

7275186444

File:

Fictitious Names

Registration Number	Fictitious Name	Status	Filed Date	Expiration Date	Cancellation Date	Mailing Address
G11000079514	FLORIDA BEHAVIORAL MEDICINE	ACTIVE	2011-08-10	2026-12-31	-	1100 CLEARWATER LARGO RD, LARGO, FL, 33770

Events

Event Type	Filed Date	Value	Description
REGISTERED AGENT NAME CHANGED	2020-06-10	Patel, Ashok	-
REGISTERED AGENT ADDRESS CHANGED	2020-06-10	1100 CLEARWATER LARGO ROAD, LARGO, FL 33770	-
REINSTATEMENT	2005-07-01	-	-
ADMIN DISSOLUTION FOR ANNUAL REPORT	2004-10-01	-	-
CHANGE OF PRINCIPAL ADDRESS	2003-10-21	1100 CLEARWATER LARGO ROAD, LARGO, FL 33770	-
CHANGE OF MAILING ADDRESS	2003-10-21	1100 CLEARWATER LARGO ROAD, LARGO, FL 33770	-

Documents

Name	Date
ANNUAL REPORT	2024-04-08
ANNUAL REPORT	2023-04-24
ANNUAL REPORT	2022-01-24
ANNUAL REPORT	2021-04-16
ANNUAL REPORT	2020-06-10
ANNUAL REPORT	2019-03-28
ANNUAL REPORT	2018-04-24
ANNUAL REPORT	2017-02-13
ANNUAL REPORT	2016-03-28
ANNUAL REPORT	2015-03-31

USAspending Awards / Financial Assistance

Date:

2020-04-27

Link:

View on USAspending

Awarding Agency Name:

Small Business Administration

Transaction Description:

TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.

Obligated Amount:

0.00

Face Value Of Loan:

152878.00

Total Face Value Of Loan:

152878.00

Paycheck Protection Program

Jobs Reported:

28

Initial Approval Amount:

$152,878

Date Approved:

2020-04-27

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$152,878

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Male Owned

Veteran:

Unanswered

Forgiveness Amount:

$154,245.41

Servicing Lender:

Central Bank

Use of Proceeds:

Payroll: $152,878

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Date of last update: 01 Aug 2025

Sources: Florida Department of State