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ADVANCED CARE HOSPITALISTS FLORIDA BEHAVIORAL HEALTH, LLC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
SHER GULAB Agent 4315 HIGHLAND PARK BLVD, LAKELAND, FL, 33813

President

Name Role Address
SHER GULAB President 4315 HIGHLAND PARK DRIVE, SUITE A, LAKELAND, FL, 33813

Events

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

Documents

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