| Entity Name: | INSTIC HEALTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 20 Apr 2020 (5 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 27 Aug 2021 (3 years ago) |
| Document Number: | L20000106690 |
| FEI/EIN Number | 85-0811416 |
| Address: | 105 N Alexander Street, Suite 105, Plant City, FL 33563 |
| Mail Address: | 105 N Alexander Street, Suite 105, Plant City, FL 33563 |
| ZIP code: | 33563 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811519234 | 2020-05-07 | 2022-09-08 | 105 N ALEXANDER ST STE 105, PLANT CITY, FL, 335634831, US | 105 N ALEXANDER ST STE 105, PLANT CITY, FL, 335634831, US | |||||||||||||||||||||
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| Phone | +1 813-755-7300 |
| Fax | 8339050111 |
Authorized person
| Name | MR. SIDDHARTH PATEL |
| Role | OWNER |
| Phone | 8137557300 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 111280000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PATEL, SIDDHARTH | Agent | 3512 MAJESTIC VIEW DR, LUTZ, FL 33558 |
| Name | Role | Address |
|---|---|---|
| PATEL, SIDDHARTH | Managing Member | 3512 MAJESTIC VIEW DR, LUTZ, FL 33558 |
| PATEL, PRAGNESHKUMAR | Managing Member | 6310 SEA LAVENDER LANE, TAMPA, FL 33625 |
| PATEL, VIJAY | Managing Member | 8917 NEW ALEXANDIRA LOOP, NEW PORT RICHEY, FL 34654 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2021-08-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-01-07 | 105 N Alexander Street, Suite 105, Plant City, FL 33563 | No data |
| CHANGE OF MAILING ADDRESS | 2021-01-07 | 105 N Alexander Street, Suite 105, Plant City, FL 33563 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-09 |
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-03-01 |
| ANNUAL REPORT | 2022-01-30 |
| ANNUAL REPORT | 2021-01-07 |
| Florida Limited Liability | 2020-04-20 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
