Entity Name: | INSIGHT PSYCHIATRY SERVICES, P.A. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 27 Jun 1995 (30 years ago) |
Document Number: | P95000050103 |
FEI/EIN Number | 593326708 |
Address: | 12443 SAN JOSE BLVD, SUITE 301, JACKSONVILLE, FL, 32223 |
Mail Address: | PO BOX 342008, TAMPA, FL, 33694-2008 |
ZIP code: | 32223 |
County: | Duval |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1417179086 | 2007-05-03 | 2012-04-27 | 5100 N. ARMENIA AVE, TAMPA, FL, 33603, US | 5100 N. ARMENIA AVE, TAMPA, FL, 33603, US | |||||||||||||
|
Phone | +1 813-874-3414 |
Authorized person
Name | MISS KIMBERLY PLAZEWSKI |
Role | OFFICE MANAGER |
Phone | 8138743414 |
Taxonomy
Taxonomy Code | 2084P0800X - Psychiatry Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
MONAKEY SAMINA H | Agent | 12443 SAN JOSE BLVD, JACKSONVILLE, FL, 32223 |
Name | Role | Address |
---|---|---|
HUSSAIN HANSA S | Secretary | 12443 SAN JOSE BLVD #301, JACKSONVILLE, FL, 32223 |
Name | Role | Address |
---|---|---|
HUSSAIN HANSA S | Director | 12443 SAN JOSE BLVD #301, JACKSONVILLE, FL, 32223 |
HUSSAIN SAJJAD F | Director | 12443 SAN JOSE BLVD #301, JACKSONVILLE, FL, 32223 |
Name | Role | Address |
---|---|---|
HUSSAIN SAJJAD F | President | 12443 SAN JOSE BLVD #301, JACKSONVILLE, FL, 32223 |
Name | Role | Address |
---|---|---|
HUSSAIN HANSA S | Vice President | 12443 SAN JOSE BLVD #301, JACKSONVILLE, FL, 32223 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State