Entity Name: | ADVANCED CARE HOSPITALISTS FLORIDA BEHAVIORAL HEALTH, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 17 Jul 2017 (8 years ago) |
Document Number: | L17000152775 |
FEI/EIN Number | 82-2222029 |
Address: | 4315 HIGHLAND PARK BLVD, SUITE A, LAKELAND, FL, 33813, US |
Mail Address: | 4315 HIGHLAND PARK BLVD, SUITE A, LAKELAND, FL, 33813, US |
ZIP code: | 33813 |
County: | Polk |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1982127833 | 2017-07-24 | 2022-07-21 | 4315 HIGHLAND PARK BLVD STE D, LAKELAND, FL, 338131639, US | 4315 HIGHLAND PARK BLVD STE D, LAKELAND, FL, 338131639, US | |||||||||||||||
|
Phone | +1 863-816-5884 |
Fax | 8639404856 |
Authorized person
Name | DR. GULAB SHER |
Role | OWNER |
Phone | 8638165884 |
Taxonomy
Taxonomy Code | 101YM0800X - Mental Health Counselor |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
SHER GULAB | Agent | 4315 HIGHLAND PARK BLVD, LAKELAND, FL, 33813 |
Name | Role | Address |
---|---|---|
SHER GULAB | President | 4315 HIGHLAND PARK DRIVE, SUITE A, LAKELAND, FL, 33813 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2020-01-13 | 4315 HIGHLAND PARK BLVD, SUITE A, LAKELAND, FL 33813 | No data |
CHANGE OF MAILING ADDRESS | 2020-01-13 | 4315 HIGHLAND PARK BLVD, SUITE A, LAKELAND, FL 33813 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2020-01-13 | 4315 HIGHLAND PARK BLVD, SUITE A, LAKELAND, FL 33813 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-01-18 |
ANNUAL REPORT | 2023-01-20 |
ANNUAL REPORT | 2022-03-02 |
ANNUAL REPORT | 2021-01-08 |
ANNUAL REPORT | 2020-01-13 |
ANNUAL REPORT | 2019-01-30 |
ANNUAL REPORT | 2018-03-06 |
Florida Limited Liability | 2017-07-17 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State