| Entity Name: | INSIGHT THERAPEUTIC SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 04 Sep 2019 (5 years ago) |
| Document Number: | P19000070188 |
| FEI/EIN Number | 84-2926927 |
| Address: | 1301 S International Pkwy, Lake Mary, FL, 32746, US |
| Mail Address: | 1301 S International Pkwy, Lake Mary, FL, 32746, US |
| ZIP code: | 32746 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477375574 | 2024-10-29 | 2024-10-29 | 14056 MAGNOLIA GLEN CIR, ORLANDO, FL, 328288378, US | 1301 S INTERNATIONAL PKWY STE 2021, LAKE MARY, FL, 327461411, US | |||||||||||||
|
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| Phone | +1 407-733-3796 |
Authorized person
| Name | WIESLAW JAN FALISZEWSKI |
| Role | PRESIDENT |
| Phone | 4077333796 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FALISZEWSKI WIESLAW | Agent | 14056 MAGNOLIA GLEN CIR, ORLANDO, FL, 32828 |
| Name | Role | Address |
|---|---|---|
| WIESLAW FALISZEWSKI | President | 14056 MAGNOLIA GLEN CIR, ORLANDO, FL, 32828 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000138247 | HEATHROW INTEGRATIVE PSYCHIATRY | ACTIVE | 2024-11-12 | 2029-12-31 | No data | 14056 MAGNOLIA GLEN CIR, ORLANDO, FL, 32828 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-11-14 | 1301 S International Pkwy, Suite 2021, Lake Mary, FL 32746 | No data |
| CHANGE OF MAILING ADDRESS | 2024-11-14 | 1301 S International Pkwy, Suite 2021, Lake Mary, FL 32746 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-06 | 14056 MAGNOLIA GLEN CIR, ORLANDO, FL 32828 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-16 |
| ANNUAL REPORT | 2023-02-05 |
| ANNUAL REPORT | 2022-03-06 |
| ANNUAL REPORT | 2021-02-24 |
| ANNUAL REPORT | 2020-01-18 |
| Domestic Profit | 2019-09-04 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
