| Entity Name: | PIONEER PSYCHIATRY SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 19 Apr 2019 (6 years ago) |
| Date of dissolution: | 21 Mar 2023 (2 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 21 Mar 2023 (2 years ago) |
| Document Number: | L19000107603 |
| FEI/EIN Number | 37-1942727 |
| Address: | 13065 N TELECOM PKWY, TAMPA, FL, 33637, US |
| Mail Address: | 13065 N TELECOM PKWY, TAMPA, FL, 33637, US |
| ZIP code: | 33637 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912563222 | 2019-05-13 | 2019-11-13 | 13067 N TELECOM PKWY, TEMPLE TERRACE, FL, 336370926, US | 13067 N TELECOM PKWY, TEMPLE TERRACE, FL, 336370926, US | |||||||||||||||||||||||||||||||||||
|
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| Phone | +1 813-779-6303 |
| Fax | 8889771998 |
Authorized person
| Name | SYED IRFAN ALI |
| Role | PRESIDENT |
| Phone | 8137796303 |
Taxonomy
| Taxonomy Code | 2084N0400X - Neurology Physician |
| Is Primary | No |
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | Yes |
| Taxonomy Code | 2084P0805X - Geriatric Psychiatry Physician |
| Is Primary | No |
| Taxonomy Code | 2084V0102X - Vascular Neurology Physician |
| Is Primary | No |
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| PIONEER MEDICAL GROUP PL | Agent | 13065 N TELECOM PKWY, TAMPA, FL, 33637 |
| Name | Role | Address |
|---|---|---|
| PIONEER MEDICAL GROUP PL | Manager | 13065 N TELECOM PKWY, TAMPA, FL, 33637 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2023-03-21 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2023-03-21 |
| ANNUAL REPORT | 2022-02-15 |
| ANNUAL REPORT | 2021-05-01 |
| ANNUAL REPORT | 2020-01-23 |
| Florida Limited Liability | 2019-04-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
