| Entity Name: | CENTER FOR NEUROSCIENCE, PL |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 09 Oct 2001 (23 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 03 Aug 2004 (21 years ago) |
| Document Number: | L01000017295 |
| FEI/EIN Number | 651142797 |
| Address: | 16244 S. MILITARY TRAIL, SUITE 150, DELRAY BEACH, FL, 33484 |
| Mail Address: | 16244 S. MILITARY TRAIL, SUITE 150, DELRAY BEACH, FL, 33484 |
| ZIP code: | 33484 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124151931 | 2007-03-13 | 2010-03-02 | 16244 S MILITARY TRL, SUITE 150, DELRAY BEACH, FL, 334846534, US | 16244 MILITARY TRL STE 150, DELRAY BEACH, FL, 334846505, US | |||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 561-638-8872 |
| Fax | 5616388874 |
Authorized person
| Name | DR. M FARHAN SIDDIQUI |
| Role | PRESIDENT |
| Phone | 5616388872 |
Taxonomy
| Taxonomy Code | 103G00000X - Clinical Neuropsychologist |
| License Number | PY6865 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 103T00000X - Psychologist |
| License Number | PY6865 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PY6865 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 2084N0400X - Neurology Physician |
| License Number | ME72476 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SIDDIQUI SAMUEL | Agent | 16244 S. MILITARY TR., DELRAY BEACH, FL, 33484 |
| Name | Role | Address |
|---|---|---|
| SIDDIQUI SAMUEL FARHAN | Manager | 16244 S MILITARY TRAIL, STE 150, DELRAY BEACH, FL, 33484 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000030768 | CENTER FOR PSYCHOLOGY | EXPIRED | 2014-03-27 | 2019-12-31 | No data | 16244 S MILITARY TRAIL, STE 150, DELRAY BEACH, FL, 33484 |
| G10000095412 | PALM BEACH BOTOX | EXPIRED | 2010-10-18 | 2015-12-31 | No data | 16244 S MILITARY TRAIL, STE 150, DELRAY BEACH, FL, 33484 |
| G08126900503 | HEARTFELT THERAPIES | EXPIRED | 2008-05-05 | 2013-12-31 | No data | 16244 S MILITARY TRAIL, STE 150, DELRAY BEACH, FL, 33484 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-04-23 | SIDDIQUI, SAMUEL | No data |
| CHANGE OF MAILING ADDRESS | 2009-03-24 | 16244 S. MILITARY TRAIL, SUITE 150, DELRAY BEACH, FL 33484 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-04-03 | 16244 S. MILITARY TR., SUITE 150, DELRAY BEACH, FL 33484 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2006-01-10 | 16244 S. MILITARY TRAIL, SUITE 150, DELRAY BEACH, FL 33484 | No data |
| NAME CHANGE AMENDMENT | 2004-08-03 | CENTER FOR NEUROSCIENCE, PL | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-04-13 |
| ANNUAL REPORT | 2022-04-25 |
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-07-31 |
| ANNUAL REPORT | 2019-04-26 |
| ANNUAL REPORT | 2018-04-20 |
| ANNUAL REPORT | 2017-01-23 |
| ANNUAL REPORT | 2016-03-18 |
| ANNUAL REPORT | 2015-01-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
