CEP AMERICA- NEUROLOGY, CORPORATION

Company Details

Entity Name:	CEP AMERICA- NEUROLOGY, CORPORATION
Jurisdiction:	FLORIDA
Filing Type:	Foreign Profit Corporation
Status:	Active
Date Filed:	13 Apr 2023 (2 years ago)
Document Number:	F23000002444
FEI/EIN Number	81-4978794
Address:	2100 POWELL STREET, SUITE 400, EMERYVILLE, CA 94608
Mail Address:	2100 POWELL STREET, SUITE 400, EMERYVILLE, CA 94608
Place of Formation:	CALIFORNIA

National Provider Identifier

NPI

Enumeration Date

Last Update Date

Mailing Address

Practice Location Address

1164109328

2023-06-29

2100 POWELL ST STE 400, EMERYVILLE, CA, 946081872, US

205 TRINITY WAY, SAINT JOHNS, FL, 322591155, US

Contacts

Phone	+1 510-350-2600
Phone	+1 904-450-8120

Authorized person

Name	DAVID BIRDSALL
Role	VICE PRESIDENT AND SECRETARY
Phone	5103502600

Taxonomy

Taxonomy Code	2084N0400X - Neurology Physician
Is Primary	Yes

Agent

Name	Role
REGISTERED AGENT SOLUTIONS, INC.	Agent

Director

Name	Role	Address
KOURY, MD, THEOPHILE	Director	2100 POWELL STREET, SUITE 400, EMERYVILLE, CA 94608
NEWELL, MD, RICHARD	Director	2100 POWELL STREET, SUITE 400, EMERYVILLE, CA 94608

President

Name	Role	Address
KOURY, MD, THEOPHILE	President	2100 POWELL STREET, SUITE 400, EMERYVILLE, CA 94608

Chief Financial Officer

Name	Role	Address
KOURY, MD, THEOPHILE	Chief Financial Officer	2100 POWELL STREET, SUITE 400, EMERYVILLE, CA 94608

Vice President

Name	Role	Address
BIRDSALL, MD, DAVID	Vice President	2100 POWELL STREET, SUITE 400, EMERYVILLE, CA 94608

Secretary

Name	Role	Address
BIRDSALL, MD, DAVID	Secretary	2100 POWELL STREET, SUITE 400, EMERYVILLE, CA 94608

Events

Event Type	Filed Date	Value	Description
REGISTERED AGENT ADDRESS CHANGED	2023-05-24	2894 REMINGTON GREEN LN. STE. A, TALLAHASSEE, FL 32308	No data

Documents

Name	Date
ANNUAL REPORT	2024-03-07
Reg. Agent Change	2023-05-24
Foreign Profit	2023-04-13

Date of last update: 10 Feb 2025

Sources: Florida Department of State