| Entity Name: | TS TELEPSYCHIATRY, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 06 Jan 2021 (4 years ago) |
| Document Number: | L21000019519 |
| FEI/EIN Number | 86-1989885 |
| Address: | 11215 Metro Parkway, Building 3 Suite 1, FORT MYERS, FL 33966 |
| Mail Address: | PO Box 60159, Fort Myers, FL 33906 |
| ZIP code: | 33966 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | TS TELEPSYCHIATRY, PLLC, RHODE ISLAND | 001761995 | RHODE ISLAND |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134790058 | 2021-07-02 | 2024-01-17 | 11215 METRO PKWY, BLDG. 3, STE. 1, FORT MYERS, FL, 339663244, US | 11215 METRO PKWY, BLDG. 3, STE 1, FORT MYERS, FL, 33966, US | |||||||||||||||
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| Phone | +1 239-208-2212 |
| Fax | 2392083994 |
Authorized person
| Name | MOHAMMED ZAMAN |
| Role | OWNER |
| Phone | 2392082212 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ZAFAR, DARYOUSH | Agent | 11215 Metro Parkway, Building 3 Suite 1, FORT MYERS, FL 33966 |
| Name | Role | Address |
|---|---|---|
| MOHAMMED, ZAMAN, MD | Authorized Member | 11215 Metro Parkway, Building 3 Suite 1 FORT MYERS, FL 33966 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-08 | 11215 Metro Parkway, Building 3 Suite 1, FORT MYERS, FL 33966 | No data |
| CHANGE OF MAILING ADDRESS | 2023-03-08 | 11215 Metro Parkway, Building 3 Suite 1, FORT MYERS, FL 33966 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-08 | 11215 Metro Parkway, Building 3 Suite 1, FORT MYERS, FL 33966 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-06-11 |
| ANNUAL REPORT | 2024-03-21 |
| ANNUAL REPORT | 2023-03-08 |
| ANNUAL REPORT | 2022-03-07 |
| Florida Limited Liability | 2021-01-06 |
Date of last update: 15 Jan 2025
Sources: Florida Department of State
