| Entity Name: | VIRTUAL INPATIENT PSYCHIATRY PHYSICIANS BEHAVIORAL NETWORK, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 19 Apr 2018 (7 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 02 May 2018 (7 years ago) |
| Document Number: | L18000098767 |
| FEI/EIN Number | 82-5469903 |
| Address: | 425 Colonial Drive, Ste 302, Orlando, FL 32804 |
| Mail Address: | 5314 Maryland Way, Ste 110, Brentwood, TN 37027 |
| ZIP code: | 32804 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801385521 | 2018-05-08 | 2024-10-30 | 425 W COLONIAL DR STE 302, ORLANDO, FL, 328046863, US | 425 W COLONIAL DR STE 302, ORLANDO, FL, 328046863, US | |||||||||||||
|
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| Phone | +1 407-362-5459 |
Authorized person
| Name | MR. BRIAN NICHOLS |
| Role | SVP |
| Phone | 3305363746 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| COGENCY GLOBAL INC. | Agent |
| Name | Role | Address |
|---|---|---|
| ALLEN, LUIS G | Manager | 425 Colonial Drive, Ste 302 Orlando, FL 32804 |
| GANPAT, PETER | Manager | 425 Colonial Drive, Ste 302 Orlando, FL 32804 |
| Name | Role | Address |
|---|---|---|
| Martin, Ann | Chief Financial Officer | 5314 Maryland Way, Ste 110 Brentwood, TN 37027 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-02-04 | 425 Colonial Drive, Ste 302, Orlando, FL 32804 | No data |
| CHANGE OF MAILING ADDRESS | 2022-02-04 | 425 Colonial Drive, Ste 302, Orlando, FL 32804 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-02-04 | COGENCY GLOBAL INC. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-02-04 | 115 North Calhoun St., Ste 4, Tallahassee, FL 32301 | No data |
| LC NAME CHANGE | 2018-05-02 | VIRTUAL INPATIENT PSYCHIATRY PHYSICIANS BEHAVIORAL NETWORK, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-18 |
| ANNUAL REPORT | 2023-04-11 |
| ANNUAL REPORT | 2022-02-04 |
| ANNUAL REPORT | 2021-04-22 |
| ANNUAL REPORT | 2020-05-12 |
| ANNUAL REPORT | 2019-04-21 |
| LC Name Change | 2018-05-02 |
| Florida Limited Liability | 2018-04-19 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
