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  5. FLORIDA NEUROLOGY GROUP, P.L.

FLORIDA NEUROLOGY GROUP, P.L. - Florida Company Profile

Company Details

Entity Name: FLORIDA NEUROLOGY GROUP, P.L.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

FLORIDA NEUROLOGY GROUP, P.L. is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 27 Nov 2002 (22 years ago)
Document Number: L02000031958
FEI/EIN Number 383665912

Federal Employer Identification (FEI) Number assigned by the IRS.
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

Key Officers & Management

Name Role Address
CARLIN LANE R Managing Member 12670 WHITEHALL DR, FORT MYERS, FL, 33907
MARINO CHRIS J Manager 12670 WHITEHALL DR, FORT MYERS, FL, 33907
GAMEZ GERARDO A Manager 12670 WHITEHALL DR, FORT MYERS, FL, 33907
Bolling Pamela E Admi 12670 WHITEHALL DRIVE, 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
CARLIN LANE R Agent 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 -
CHANGE OF MAILING ADDRESS 2003-08-08 12670 WHITEHALL DRIVE, FORT MYERS, FL 33907 -
REGISTERED AGENT ADDRESS CHANGED 2003-08-08 12670 WHITEHALL DRIVE, FORT MYERS, FL 33907 -

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

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3533027203 2020-04-27 0455 PPP 12670 Whitehall Dr, Fort Myers, FL, 33907
Loan Status Date 2021-07-13
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 797826.8
Loan Approval Amount (current) 797826.8
Undisbursed Amount 0
Franchise Name -
Lender Location ID 446159
Servicing Lender Name FineMark National Bank & Trust
Servicing Lender Address 12681 Creekside Lane, FORT MYERS, FL, 33919
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Fort Myers, LEE, FL, 33907-1000
Project Congressional District FL-19
Number of Employees 58
NAICS code 621111
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Partnership
Originating Lender ID 446159
Originating Lender Name FineMark National Bank & Trust
Originating Lender Address FORT MYERS, FL
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 806985.41
Forgiveness Paid Date 2021-06-22

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CARLIN LANE R

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MARINO CHRIS J

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GAMEZ GERARDO A

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Sullivan John P

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Brown Anthony R

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Companies related by address

No other companies in our directory share the same address as FLORIDA NEUROLOGY GROUP, P.L.

Date of last update: 02 Apr 2025

Sources: Florida Department of State

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