| Entity Name: | HEALTH AND PSYCHIATRIST CONSULTANTS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 27 Mar 2009 (16 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 30 Sep 2019 (5 years ago) |
| Document Number: | L09000030172 |
| FEI/EIN Number | 26-4547620 |
| Address: | 3919 TAMPA ROAD, OLDSMAR, FL 34677 |
| Mail Address: | 3919 TAMPA ROAD, OLDSMAR, FL 34677 |
| ZIP code: | 34677 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467696062 | 2009-04-27 | 2024-09-16 | 3919 TAMPA RD, OLDSMAR, FL, 346773114, US | 3919 TAMPA RD, OLDSMAR, FL, 34677, US | |||||||||||||||||||||
|
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| Phone | +1 833-377-2526 |
| Fax | 7277336002 |
Authorized person
| Name | MR. USMAN EZAD |
| Role | CEO |
| Phone | 7276920101 |
Taxonomy
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 103218400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| EZAD, USMAN | Agent | 3919 TAMPA ROAD, OLDSMAR, FL 34677 |
| Name | Role | Address |
|---|---|---|
| EZAD, USMAN | Director HR | 3919 TAMPA ROAD, OLDSMAR, FL 34677 |
| Name | Role | Address |
|---|---|---|
| EZAD, USMAN | Development | 3919 TAMPA ROAD, OLDSMAR, FL 34677 |
| Name | Role | Address |
|---|---|---|
| Sajan, Dinar, Dr. | Medical Director | 3919 TAMPA ROAD, OLDSMAR, FL 34677 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000103446 | HEALTH AND PRIMARY CARE | ACTIVE | 2021-08-09 | 2026-12-31 | No data | 3919 TAMPA ROAD, OLDSMAR, FL, 34677 |
| G21000103453 | HEALTH AND WEIGHT LOSS | ACTIVE | 2021-08-09 | 2026-12-31 | No data | 3919 TAMPA ROAD, OLDSMAR, FL, 34677 |
| G21000103458 | HEALTH AND NEUROLOGY | ACTIVE | 2021-08-09 | 2026-12-31 | No data | 3919 TAMPA ROAD, OLDSMAR, FL, 34677 |
| G21000048683 | HEALTH AND THERAPY | ACTIVE | 2021-04-08 | 2026-12-31 | No data | 3919 TAMPA ROAD, OLDSMAR, FL, 34677 |
| G15000054930 | HEALTH AND PSYCHIATRY | ACTIVE | 2015-06-06 | 2025-12-31 | No data | 3919 TAMPA ROAD, OLDSMAR, FL, 34677 |
| G15000054932 | HEALTH AND MEDSPA | ACTIVE | 2015-06-06 | 2025-12-31 | No data | 3919 TAMPA ROAD, OLDSMAR, FL, 34677 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2019-09-30 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-09-30 | EZAD, USMAN | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-09-30 | 3919 TAMPA ROAD, OLDSMAR, FL 34677 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-01-07 | 3919 TAMPA ROAD, OLDSMAR, FL 34677 | No data |
| CHANGE OF MAILING ADDRESS | 2019-01-07 | 3919 TAMPA ROAD, OLDSMAR, FL 34677 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-03-16 |
| ANNUAL REPORT | 2022-04-08 |
| ANNUAL REPORT | 2021-04-13 |
| ANNUAL REPORT | 2020-02-21 |
| REINSTATEMENT | 2019-09-30 |
| ANNUAL REPORT | 2018-03-05 |
| ANNUAL REPORT | 2017-04-30 |
| ANNUAL REPORT | 2016-02-26 |
| ANNUAL REPORT | 2015-04-04 |
Date of last update: 25 Jan 2025
Sources: Florida Department of State
