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  5. S. A. NEUROLOGY LLC

S. A. NEUROLOGY LLC

Company Details

Entity Name: S. A. NEUROLOGY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 16 Dec 2002 (22 years ago)
Last Event: CANCEL ADM DISS/REV
Event Date Filed: 25 Oct 2004 (20 years ago)
Document Number: L02000033613
FEI/EIN Number 300137567
Mail Address: 11336 BRIDGE HOUSE ROAD, WINDERMERE, FL, 34786, US
Address: 11336 Bridge House Rd, Windermere, FL, 34786, US
ZIP code: 34786
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1023089067 2006-01-28 2013-12-04 11336 BRIDGE HOUSE RD, WINDERMERE, FL, 347865405, US 7376 STONEROCK CIR, ORLANDO, FL, 328198000, US

Contacts
Phone +1 407-876-8243
Fax 4079091187
Phone +1 407-226-9766
Fax 4072269834

Authorized person
Name AZRA ULLAH
Role OFFICE MANAGER
Phone 4072269766

Taxonomy
Taxonomy Code 2084N0400X - Neurology Physician
License Number ME71135
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
S A NEUROLOGY LLC PROFIT SHARING PLAN 2023 300137567 2024-06-22 S A NEUROLOGY LLC 3
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4076143104
Plan sponsor’s address 11336 BRIDGE HOUSE ROAD, WINDERMERE, FL, 34786

Signature of
Role Plan administrator
Date 2024-06-21
Name of individual signing AZRA ULLAH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-06-21
Name of individual signing AZRA ULLAH
Valid signature Filed with authorized/valid electronic signature
S A NEUROLOGY LLC PROFIT SHARING PLAN 2022 300137567 2023-07-24 S A NEUROLOGY LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4076143104
Plan sponsor’s address 11336 BRIDGE HOUSE ROAD, WINDERMERE, FL, 34786

Signature of
Role Plan administrator
Date 2023-07-24
Name of individual signing AZRA ULLAH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-07-24
Name of individual signing AZRA ULLAH
Valid signature Filed with authorized/valid electronic signature
S A NEUROLOGY LLC PROFIT SHARING PLAN 2021 300137567 2022-09-24 S A NEUROLOGY LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4076143104
Plan sponsor’s address 11336 BRIDGE HOUSE ROAD, WINDERMERE, FL, 34786

Signature of
Role Plan administrator
Date 2022-09-24
Name of individual signing AZRA ULLAH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-09-24
Name of individual signing AZRA ULLAH
Valid signature Filed with authorized/valid electronic signature
S A NEUROLOGY LLC PROFIT SHARING PLAN 2020 300137567 2021-07-22 S A NEUROLOGY LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4076143104
Plan sponsor’s address 11336 BRIDGE HOUSE ROAD, WINDERMERE, FL, 34786

Signature of
Role Plan administrator
Date 2021-07-22
Name of individual signing AZRA ULLAH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-22
Name of individual signing AZRA ULLAH
Valid signature Filed with authorized/valid electronic signature
S A NEUROLOGY LLC PROFIT SHARING PLAN 2019 300137567 2020-08-13 S A NEUROLOGY LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4076143104
Plan sponsor’s address 11336 BRIDGE HOUSE ROAD, WINDERMERE, FL, 34786

Signature of
Role Plan administrator
Date 2020-08-13
Name of individual signing AZRA ULLAH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-08-13
Name of individual signing AZRA ULLAH
Valid signature Filed with authorized/valid electronic signature
S A NEUROLOGY LLC PROFIT SHARING PLAN 2018 300137567 2019-09-26 S A NEUROLOGY LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4076143104
Plan sponsor’s address 11336 BRIDGE HOUSE ROAD, WINDERMERE, FL, 34786

Signature of
Role Plan administrator
Date 2019-09-26
Name of individual signing AZRA ULLAH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-09-26
Name of individual signing AZRA ULLAH
Valid signature Filed with authorized/valid electronic signature
S A NEUROLOGY LLC PROFIT SHARING PLAN 2017 300137567 2018-07-12 S A NEUROLOGY LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4076143104
Plan sponsor’s address 11336 BRIDGE HOUSE ROAD, WINDERMERE, FL, 34786

Signature of
Role Plan administrator
Date 2018-07-12
Name of individual signing AZRA ULLAH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-12
Name of individual signing AZRA ULLAH
Valid signature Filed with authorized/valid electronic signature
S A NEUROLOGY LLC PROFIT SHARING PLAN 2016 300137567 2017-07-24 S A NEUROLOGY LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4078768243
Plan sponsor’s address 11336 BRIDGE HOUSE ROAD, WINDERMERE, FL, 34786

Signature of
Role Plan administrator
Date 2017-07-24
Name of individual signing SAIF ULLAH, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-24
Name of individual signing SAIF ULLAH, M.D.
Valid signature Filed with authorized/valid electronic signature
S A NEUROLOGY LLC PROFIT SHARING PLAN 2015 300137567 2016-10-03 S A NEUROLOGY LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4078768243
Plan sponsor’s address 11336 BRIDGE HOUSE ROAD, WINDERMERE, FL, 34786

Signature of
Role Plan administrator
Date 2016-10-03
Name of individual signing SAIF ULLAH, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-03
Name of individual signing SAIF ULLAH, M.D.
Valid signature Filed with authorized/valid electronic signature
S A NEUROLOGY LLC PROFIT SHARING PLAN 2014 300137567 2015-06-09 S A NEUROLOGY LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4078768243
Plan sponsor’s address 11336 BRIDGE HOUSE ROAD, WINDERMERE, FL, 34786

Signature of
Role Plan administrator
Date 2015-06-09
Name of individual signing SAIF ULLAH, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-09
Name of individual signing SAIF ULLAH, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ULLAH saif Agent 11336 BRIDGE HOUSE ROAD, WINDERMERE, FL, 34786

Managing Member

Name Role Address
ULLAH AZRA Managing Member 11336 BRIDGE HOUSE ROAD, WINDERMERE, FL, 34786
ULLAH SAIF M Managing Member 11336 BRIDGE HOUSE ROAD, WINDERMERE, FL, 34786

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-03-23 11336 Bridge House Rd, Windermere, FL 34786 No data
REGISTERED AGENT NAME CHANGED 2017-03-20 ULLAH, saif No data
CHANGE OF MAILING ADDRESS 2010-04-26 11336 Bridge House Rd, Windermere, FL 34786 No data
REGISTERED AGENT ADDRESS CHANGED 2010-04-26 11336 BRIDGE HOUSE ROAD, WINDERMERE, FL 34786 No data
CANCEL ADM DISS/REV 2004-10-25 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2004-10-01 No data No data

Documents

Name Date
AMENDED ANNUAL REPORT 2024-03-23
ANNUAL REPORT 2024-03-08
ANNUAL REPORT 2023-02-22
ANNUAL REPORT 2022-02-22
ANNUAL REPORT 2021-04-17
ANNUAL REPORT 2020-04-13
ANNUAL REPORT 2019-04-19
ANNUAL REPORT 2018-03-24
ANNUAL REPORT 2017-03-20
ANNUAL REPORT 2016-04-07

Related by officers

ULLAH AZRA

SAHAHA, LLC

ULLAH SAIF M

AMNA LLC

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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