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SIDHU HEALTH INC.

Company Details

Entity Name: SIDHU HEALTH INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 28 Jun 2023 (2 years ago)
Document Number: P23000048982
FEI/EIN Number 93-2189947
Address: 1221 KINGS WAY LANE, TARPON SPRINGS, FL, 34688, US
Mail Address: 1221 KINGS WAY LANE, TARPON SPRINGS, FL, 34688, US
ZIP code: 34688
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1336913516 2023-11-08 2024-01-23 2595 TAMPA RD STE C, PALM HARBOR, FL, 346843130, US 2595 TAMPA RD STE C, PALM HARBOR, FL, 346843130, US

Contacts

Phone +1 630-849-8756

Authorized person

Name KANWALJIT SIDHU
Role CEO
Phone 6308498756

Taxonomy

Taxonomy Code 363LF0000X - Family Nurse Practitioner
Is Primary No
Taxonomy Code 363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary Yes

Agent

Name Role Address
TRASK DAIGNEAULT LLP Agent 1001 S FT HARRISON AVE, CLEARWATER, FL, 33756

President

Name Role Address
SIDHU KANWALJIT K President 1221 KINGS WAY LANE, TARPON SPRINGS, FL, 34688

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000098584 SIDHU PSYCHIATRIC CLINIC ACTIVE 2023-08-23 2028-12-31 No data 1221 KINGS WAY LANE, TARPON SPRINGS, FL, 34688
G23000095186 SIDHU PSYCHIATIC CLINIC ACTIVE 2023-08-14 2028-12-31 No data 1221 KINGS WAY LANE., TARPON SPRINGS, FL, 34688

Documents

Name Date
ANNUAL REPORT 2024-01-31
Domestic Profit 2023-06-28

Date of last update: 01 Feb 2025

Sources: Florida Department of State