| Entity Name: | INNERVISION PSYCHIATRY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 19 Apr 2023 (2 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 04 Jun 2024 (8 months ago) |
| Document Number: | L23000192997 |
| FEI/EIN Number | 92-3921509 |
| Address: | 27724 CASHFORD CIRCLE, WESLEY CHAPEL, FL, 33544, US |
| Mail Address: | 27724 CASHFORD CIRCLE, WESLEY CHAPEL, FL, 33544, US |
| ZIP code: | 33544 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760169759 | 2023-06-30 | 2024-09-09 | 27724 CASHFORD CIR STE 102, WESLEY CHAPEL, FL, 335446963, US | 27724 CASHFORD CIR STE 102, WESLEY CHAPEL, FL, 335446963, US | |||||||||||||
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| Phone | +1 813-294-0938 |
Authorized person
| Name | DR. JOE PULLARA |
| Role | PSYCHIATRY |
| Phone | 8132940938 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| INC AUTHORITY RA | Agent | 390 NORTH ORANGE AVE., STE 2300-N, ORLANDO, FL, 32801 |
| Name | Role | Address |
|---|---|---|
| GOYAL SIDDARTH | Manager | 27724 CASHFORD CIRCLE, WESLEY CHAPEL, FL, 33544 |
| PULLARA JOE | Manager | 27724 CASHFORD CIRCLE, WESLEY CHAPEL, FL, 33544 |
| CHAMAKAYALIL SIMON | Manager | 27724 CASHFORD CIRCLE, WESLEY CHAPEL, FL, 33544 |
| FLAHERTY PHILIP | Manager | 27724 CASHFORD CIRCLE, WESLEY CHAPEL, FL, 33544 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000081715 | INNERVISION PSYCHIATRY | ACTIVE | 2023-07-11 | 2028-12-31 | No data | 27724 CASHFORD CIR 102, WESLEY CHAPEL, FL, 33544 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC NAME CHANGE | 2024-06-04 | INNERVISION PSYCHIATRY LLC | No data |
| Name | Date |
|---|---|
| LC Name Change | 2024-06-04 |
| ANNUAL REPORT | 2024-04-02 |
| Florida Limited Liability | 2023-04-19 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
