| Entity Name: | NEWLIGHT PSYCHIATRIC SERVICES INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 02 Mar 2018 (7 years ago) |
| Document Number: | P18000020950 |
| FEI/EIN Number | 82-4696180 |
| Address: | 5302 S Florida Ave, Lakeland, FL, 33813, US |
| Mail Address: | 5302 S Florida Ave, Lakeland, FL, 33813, US |
| ZIP code: | 33813 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477058691 | 2018-03-28 | 2024-08-15 | 2832 GALLAGHER RD, DOVER, FL, 335275308, US | 5302 S FLORIDA AVE STE 203, LAKELAND, FL, 338134910, US | |||||||||||||||||||
|
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| Phone | +1 727-424-8419 |
| Phone | +1 863-602-7001 |
Authorized person
| Name | PANCHAMI THOMAS |
| Role | PRESIDENT |
| Phone | 7274248419 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| License Number | ARNP9253922 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| THOMAS PANCHAMI | Agent | 5302 S Florida Ave, Lakeland, FL, 33813 |
| Name | Role | Address |
|---|---|---|
| PANCHAMI THOMAS | President | 5302 S Florida Ave, Lakeland, FL, 33813 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-02-22 | 5302 S Florida Ave, suite 203, Lakeland, FL 33813 | No data |
| CHANGE OF MAILING ADDRESS | 2021-02-22 | 5302 S Florida Ave, suite 203, Lakeland, FL 33813 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-02-22 | 5302 S Florida Ave, suite 203, Lakeland, FL 33813 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-22 |
| ANNUAL REPORT | 2023-04-10 |
| ANNUAL REPORT | 2022-05-01 |
| ANNUAL REPORT | 2021-02-22 |
| ANNUAL REPORT | 2020-07-19 |
| ANNUAL REPORT | 2019-03-03 |
| Domestic Profit | 2018-03-02 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
