| Entity Name: | RASIK PATEL, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 13 Dec 2005 (19 years ago) |
| Document Number: | L05000118591 |
| FEI/EIN Number | 20-4021609 |
| Address: | 2218 UPLAND WAY, TALLAHASSEE, FL 32311 |
| Mail Address: | 2218 UPLAND WAY, TALLAHASSEE, FL 32311 |
| ZIP code: | 32311 |
| County: | Leon |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508166174 | 2010-10-28 | 2010-10-28 | 2218 UPLAND WAY, TALLAHASSEE, FL, 323113497, US | 2218 UPLAND WAY, TALLAHASSEE, FL, 323113497, US | |||||||||||||||||||||||||
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| Phone | +1 850-574-6666 |
| Fax | 8506637897 |
Authorized person
| Name | RASIK PATEL |
| Role | PRESIDENT |
| Phone | 8505746666 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | ME0047196 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 274241100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PADGETT, TIMOTHY DESQ. | Agent | 2810 REMINGTON GREEN CIRCLE, TALLAHASSEE, FL 32308 |
| Name | Role | Address |
|---|---|---|
| PATEL, RASIK | Manager | 2218 UPLAND WAY, TALLAHASSEE, FL 32311 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-05-11 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-04-28 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-03-26 |
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-03-23 |
| ANNUAL REPORT | 2016-04-21 |
| ANNUAL REPORT | 2015-04-07 |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
