| Entity Name: | INSIGHT PSYCHIATRY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 08 Nov 2021 (3 years ago) |
| Document Number: | L21000481762 |
| FEI/EIN Number | 87-3538718 |
| Address: | 6811 PORTO FINO CIRCLE, FORT MYERS, FL 33912 |
| Mail Address: | 4 Liberty Lane, CUMBERLAND CENTER, ME 04021 |
| ZIP code: | 33912 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245980465 | 2022-03-29 | 2022-03-29 | 1307 PAR VIEW DR, SANIBEL, FL, 339576409, US | 6811 PORTO FINO CIR, FORT MYERS, FL, 339124354, US | |||||||||||||||
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| Phone | +1 207-217-0140 |
| Phone | +1 239-766-5693 |
Authorized person
| Name | DR. JILL HUSSON MARTINEZ |
| Role | PSYCHIATRIST |
| Phone | 2397665693 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HUSSON MARTINEZ, JILL M, MD | Agent | 6811 PORTO FINO CIRCLE, FORT MYERS, FL 33912 |
| Name | Role | Address |
|---|---|---|
| HUSSON MARTINEZ, JILL M, MD | Authorized Member | 6811 PORTO FINO CIRCLE, FORT MYERS, FL 33912 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-04-25 | 6811 PORTO FINO CIRCLE, FORT MYERS, FL 33912 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-25 |
| ANNUAL REPORT | 2023-02-16 |
| ANNUAL REPORT | 2022-03-10 |
| Florida Limited Liability | 2021-11-08 |
Date of last update: 13 Jan 2025
Sources: Florida Department of State
