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  5. FLORIDA NEUROLOGY GROUP, P.L.

FLORIDA NEUROLOGY GROUP, P.L.

Company Details

Entity Name: FLORIDA NEUROLOGY GROUP, P.L.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 27 Nov 2002 (22 years ago)
Document Number: L02000031958
FEI/EIN Number 383665912
Address: 12670 WHITEHALL DRIVE, FORT MYERS, FL, 33907, US
Mail Address: 12670 WHITEHALL DRIVE, FORT MYERS, FL, 33907, US
ZIP code: 33907
County: Lee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1962497669 2005-09-19 2014-08-25 12670 WHITEHALL DR, FORT MYERS, FL, 339073619, US 12670 WHITEHALL DR, FORT MYERS, FL, 339073619, US

Contacts
Phone +1 239-936-3554
Fax 2399368993

Authorized person
Name MRS. DEBBIE A KING
Role BUSINESS MANANGER
Phone 2399363554

Taxonomy
Taxonomy Code 2084N0400X - Neurology Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FLORIDA NEUROLOGY GROUP 401(K) PROFIT SHARING PLAN & TRUST 2023 383665912 2024-04-29 FLORIDA NEUROLOGY GROUP, P.L. 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 2399363554
Plan sponsor’s address 12670 WHITEHALL DRIVE, FORT MYERS, FL, 33907
FLORIDA NEUROLOGY GROUP 401(K) PROFIT SHARING PLAN & TRUST 2022 383665912 2023-06-13 FLORIDA NEUROLOGY GROUP, P.L. 60
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 2399363554
Plan sponsor’s address 12670 WHITEHALL DRIVE, FORT MYERS, FL, 33907
FLORIDA NEUROLOGY GROUP 401(K) PROFIT SHARING PLAN & TRUST 2021 383665912 2022-07-28 FLORIDA NEUROLOGY GROUP, P.L. 56
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 2399363554
Plan sponsor’s address 12670 WHITEHALL DRIVE, FORT MYERS, FL, 33907
FLORIDA NEUROLOGY GROUP 401(K) PROFIT SHARING PLAN & TRUST 2020 383665912 2021-05-14 FLORIDA NEUROLOGY GROUP, P.L. 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 2399363554
Plan sponsor’s address 12670 WHITEHALL DRIVE, FORT MYERS, FL, 33907
FLORIDA NEUROLOGY GROUP 401(K) PROFIT SHARING PLAN & TRUST 2019 383665912 2020-04-23 FLORIDA NEUROLOGY GROUP, P.L. 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 2399363554
Plan sponsor’s address 12670 WHITEHALL DRIVE, FORT MYERS, FL, 33907
FLORIDA NEUROLOGY GROUP 401(K) PROFIT SHARING PLAN & TRUST 2018 383665912 2019-03-04 FLORIDA NEUROLOGY GROUP, P.L. 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 2399363554
Plan sponsor’s address 12670 WHITEHALL DRIVE, FORT MYERS, FL, 33907
FLORIDA NEUROLOGY GROUP 401(K) PROFIT SHARING PLAN & TRUST 2017 383665912 2018-02-27 FLORIDA NEUROLOGY GROUP, P.L. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 2399363554
Plan sponsor’s address 12670 WHITEHALL DRIVE, FORT MYERS, FL, 33907
FLORIDA NEUROLOGY GROUP 401(K) PROFIT SHARING PLAN & TRUST 2016 383665912 2017-03-20 FLORIDA NEUROLOGY GROUP, P.L. 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 2399363554
Plan sponsor’s address 12670 WHITEHALL DRIVE, FORT MYERS, FL, 33907

Signature of
Role Plan administrator
Date 2017-03-20
Name of individual signing LANE CARLIN
Valid signature Filed with authorized/valid electronic signature
FLORIDA NEUROLOGY GROUP EMPLOYEE PROFIT SHARING PLAN 2015 383665912 2016-03-01 FLORIDA NEUROLOGY GROUP, P.L. 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 2399363554
Plan sponsor’s address 12670 WHITEHALL DRIVE, FORT MYERS, FL, 33907

Signature of
Role Plan administrator
Date 2016-03-01
Name of individual signing LANE CARLIN, M.D.
Valid signature Filed with authorized/valid electronic signature
FLORIDA NEUROLOGY GROUP EMPLOYEE PROFIT SHARING PLAN 2014 383665912 2015-04-29 FLORIDA NEUROLOGY GROUP, P.L. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 2399363554
Plan sponsor’s address 12670 WHITEHALL DRIVE, FORT MYERS, FL, 33907

Signature of
Role Plan administrator
Date 2015-04-29
Name of individual signing LANE R. CARLIN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CARLIN LANE R Agent 12670 WHITEHALL DRIVE, FORT MYERS, FL, 33907

Managing Member

Name Role Address
CARLIN LANE R Managing Member 12670 WHITEHALL DR, FORT MYERS, FL, 33907

Manager

Name Role Address
MARINO CHRIS J Manager 12670 WHITEHALL DR, FORT MYERS, FL, 33907
GAMEZ GERARDO A Manager 12670 WHITEHALL DR, FORT MYERS, FL, 33907
Sullivan John P Manager 12670 WHITEHALL DRIVE, FORT MYERS, FL, 33907
Brown Anthony R Manager 12670 WHITEHALL DRIVE, FORT MYERS, FL, 33907

Admi

Name Role Address
Bolling Pamela E Admi 12670 WHITEHALL DRIVE, FORT MYERS, FL, 33907

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2003-08-08 12670 WHITEHALL DRIVE, FORT MYERS, FL 33907 No data
CHANGE OF MAILING ADDRESS 2003-08-08 12670 WHITEHALL DRIVE, FORT MYERS, FL 33907 No data
REGISTERED AGENT ADDRESS CHANGED 2003-08-08 12670 WHITEHALL DRIVE, FORT MYERS, FL 33907 No data

Documents

Name Date
ANNUAL REPORT 2024-04-01
ANNUAL REPORT 2023-04-25
ANNUAL REPORT 2022-03-07
ANNUAL REPORT 2021-01-12
ANNUAL REPORT 2020-02-25
ANNUAL REPORT 2019-02-11
ANNUAL REPORT 2018-01-17
ANNUAL REPORT 2017-01-10
ANNUAL REPORT 2016-01-26
ANNUAL REPORT 2015-02-09

Related by officers

CARLIN LANE R

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MARINO CHRIS J

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GAMEZ GERARDO A

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Bolling Pamela E

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Sullivan John P

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Brown Anthony R

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Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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