| Entity Name: | INSTITUTE OF HEALTH SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 15 Oct 1997 (27 years ago) |
| Document Number: | P97000089068 |
| FEI/EIN Number | 650788090 |
| Address: | 10031 PINES BLVD Suite # 103, PEMBROKE PINES, FL, 33024, US |
| Mail Address: | 10031 PINES BLVD Suite # 103, PEMBROKE PINES, FL, 33024, US |
| ZIP code: | 33024 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386944700 | 2010-11-02 | 2020-10-14 | 10031 PINES BLVD STE 103, PEMBROKE PINES, FL, 330246195, US | 10031 PINES BLVD STE 103, PEMBROKE PINES, FL, 330246195, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 954-442-3400 |
| Fax | 9544420310 |
Authorized person
| Name | DR. HABEEB ALI LAKHANI |
| Role | PRESIDENT |
| Phone | 9544423400 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | ME0047935 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 016485100 |
| State | FL |
| Issuer | MEDICAID |
| Number | 043012901 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LAKHANI HABEEB A | Agent | 10031 PINES BLVD Suite # 103, PEMBROKE PINES, FL, 33024 |
| Name | Role | Address |
|---|---|---|
| LAKHANI HABEEB | President | 10031 PINES BLVD Suite # 103, PEMBROKE PINES, FL, 33024 |
| Name | Role | Address |
|---|---|---|
| LAKHANI HABEEB | Secretary | 10031 PINES BLVD Suite # 103, PEMBROKE PINES, FL, 33024 |
| Name | Role | Address |
|---|---|---|
| LAKHANI HABEEB | Director | 10031 PINES BLVD Suite # 103, PEMBROKE PINES, FL, 33024 |
| Name | Role | Address |
|---|---|---|
| LAKHANI Habeeb A | Vice President | 10031 PINES BLVD Suite # 103, PEMBROKE PINES, FL, 33024 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2014-04-22 | 10031 PINES BLVD Suite # 103, PEMBROKE PINES, FL 33024 | No data |
| CHANGE OF MAILING ADDRESS | 2014-04-22 | 10031 PINES BLVD Suite # 103, PEMBROKE PINES, FL 33024 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-04-22 | 10031 PINES BLVD Suite # 103, PEMBROKE PINES, FL 33024 | No data |
| REGISTERED AGENT NAME CHANGED | 2007-04-15 | LAKHANI, HABEEB A | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J21000561682 | TERMINATED | 1000000905826 | BROWARD | 2021-10-27 | 2031-11-03 | $ 529.27 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200, CORAL SPRINGS FL330654149 |
| J21000159206 | TERMINATED | 1000000883678 | BROWARD | 2021-04-05 | 2031-04-07 | $ 541.83 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200, CORAL SPRINGS FL330654149 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-24 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-07-06 |
| ANNUAL REPORT | 2021-04-28 |
| ANNUAL REPORT | 2020-06-10 |
| ANNUAL REPORT | 2019-04-25 |
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-04-23 |
| ANNUAL REPORT | 2016-04-24 |
| ANNUAL REPORT | 2015-04-28 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
