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ADVANCED PSYCHIATRIC HEALTH INC

Company Details

Entity Name: ADVANCED PSYCHIATRIC HEALTH INC
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 01 Jun 2015 (10 years ago)
Last Event: AMENDMENT
Event Date Filed: 01 Feb 2023 (2 years ago)
Document Number: P15000048426
FEI/EIN Number 47-4167944
Address: 27716 Cashford Circle, 101, Wesley Chapel, FL 33544
Mail Address: 27716 Cashford Circle, 101, Wesley Chapel, FL 33544
ZIP code: 33544
County: Pasco
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1861877144 2015-07-28 2023-05-02 27716 CASHFORD CIR STE 101, WESLEY CHAPEL, FL, 335446962, US 27716 CASHFORD CIR STE 101, WESLEY CHAPEL, FL, 335446962, US

Contacts

Phone +1 813-540-1466
Fax 8139900222

Authorized person

Name GHAZANFAR KHAN
Role OWNER/ PHYSICIAN
Phone 8135401466

Taxonomy

Taxonomy Code 2084P0800X - Psychiatry Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ADVANCED PSYCHIATRIC HEALTH 401(K) PLAN 2023 474167944 2024-05-17 ADVANCED PSYCHIATRIC HEALTH INC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2023-01-01
Business code 621420
Sponsor’s telephone number 8135401466
Plan sponsor’s address 27716 CASHFORD CIRCLE, SUITE 101, WESLEY CHAPEL, FL, 33544

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2024-05-17
Name of individual signing QIAN LIU
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
KHAN, GHAZANFAR Agent 2622 CORDOBA BLVD, LUTZ, FL 33559

President

Name Role Address
KHAN, GHAZANFAR President 2622 CORDOBA BLVD, LUTZ, FL 33559

Vice President

Name Role Address
MARTIN, JOHN, IV Vice President 21 Gilbert Avenue, Clarendon Hills, IL 60514

Secretary

Name Role Address
WILSON, OSCAR Secretary 313 HARTS OAK PLACE, SEFFNER, FL 33584

Treasurer

Name Role Address
JEFFRIES, WILLIAM Treasurer 12445 Alameda Trace Circle, APT 331 AUSTIN, TX 78727

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-05-03 27716 Cashford Circle, 101, Wesley Chapel, FL 33544 No data
CHANGE OF MAILING ADDRESS 2024-05-03 27716 Cashford Circle, 101, Wesley Chapel, FL 33544 No data
AMENDMENT 2023-02-01 No data No data
REGISTERED AGENT ADDRESS CHANGED 2019-03-04 2622 CORDOBA BLVD, LUTZ, FL 33559 No data

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J23000301762 TERMINATED 1000000956916 HILLSBOROU 2023-06-20 2033-06-28 $ 330.00 STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 5483 W WATERS AVE STE 1210, TAMPA FL336341236

Documents

Name Date
ANNUAL REPORT 2024-05-03
ANNUAL REPORT 2023-04-12
Amendment 2023-02-01
AMENDED ANNUAL REPORT 2022-11-14
ANNUAL REPORT 2022-04-27
ANNUAL REPORT 2021-04-16
ANNUAL REPORT 2020-06-18
ANNUAL REPORT 2019-03-04
ANNUAL REPORT 2018-04-16
ANNUAL REPORT 2017-04-24

Date of last update: 20 Jan 2025

Sources: Florida Department of State