| Entity Name: | INTEGRATIVE CARE SPECIALISTS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 05 Aug 2019 (5 years ago) |
| Date of dissolution: | 01 Feb 2020 (5 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 01 Feb 2020 (5 years ago) |
| Document Number: | L19000198863 |
| Address: | 7901 4TH ST N, STE 300, ST. PETERSBURG, FL 33702 |
| Mail Address: | 7901 4TH ST N, STE 300, ST. PETERSBURG, FL 33702 |
| ZIP code: | 33702 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992340517 | 2019-11-07 | 2019-12-05 | 425 W COLONIAL DR STE 302, ORLANDO, FL, 328046863, US | 425 W COLONIAL DR STE 302, ORLANDO, FL, 328046863, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 407-601-1370 |
Authorized person
| Name | PETER GANPAT |
| Role | PHYSICIAN |
| Phone | 4076011370 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 2084N0400X - Neurology Physician |
| Is Primary | No |
| Name | Role |
|---|---|
| NORTHWEST REGISTERED AGENT LLC | Agent |
| Name | Role | Address |
|---|---|---|
| LAMARRE, REYNALD | Authorized Member | 7901 4TH ST N STE 300, ST. PETERSBURG, FL 33702 |
| SOMJI, ALYAZ | Authorized Member | 7901 4TH ST N STE 300, ST. PETERSBURG, FL 33702 |
| GANPAT, PETER | Authorized Member | 7901 4TH ST N STE 300, ST. PETERSBURG, FL 33702 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-04-01 | 7901 4TH ST N, STE 300, ST. PETERSBURG, FL 33702 | No data |
| CHANGE OF MAILING ADDRESS | 2025-04-01 | 7901 4TH ST N, STE 300, ST. PETERSBURG, FL 33702 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-01 | 7901 4TH ST N, STE 300, ST. PETERSBURG, FL 33702 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-01 | 7901 4TH ST N, STE 300, ST. PETERSBURG, FL 33702 | No data |
| VOLUNTARY DISSOLUTION | 2020-02-01 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2020-02-01 |
| Florida Limited Liability | 2019-08-05 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
