| Entity Name: | THE MEMORY DOCTOR, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 13 Jun 2003 (22 years ago) |
| Document Number: | L03000021464 |
| FEI/EIN Number | 320080992 |
| Address: | 26540 Ace Avenue, Leesburg, FL, 34748, US |
| Mail Address: | 26540 Ace Avenue, Leesburg, FL, 34748, US |
| ZIP code: | 34748 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265434534 | 2005-06-01 | 2021-03-29 | 26540 ACE AVE STE E-106, LEESBURG, FL, 347488279, US | 26540 ACE AVE STE E-106, LEESBURG, FL, 347488279, US | |||||||||||||||||||||||||||
|
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| Phone | +1 352-530-2170 |
| Fax | 3525302180 |
Authorized person
| Name | BRENDA MASON |
| Role | OFFICE MANAGER |
| Phone | 3525302170 |
Taxonomy
| Taxonomy Code | 103G00000X - Clinical Neuropsychologist |
| License Number | PY6497 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 103T00000X - Psychologist |
| License Number | PY6497 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| MASON DOUGLAS J | Agent | 6004 Lake Emma Road, Groveland, FL, 34736 |
| Name | Role | Address |
|---|---|---|
| MASON DOUGLAS J | Managing Member | 6004 Lake Emma Road, Groveland, FL, 34736 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2014-01-08 | 26540 Ace Avenue, Suite E-106, Leesburg, FL 34748 | No data |
| CHANGE OF MAILING ADDRESS | 2014-01-08 | 26540 Ace Avenue, Suite E-106, Leesburg, FL 34748 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-01-08 | 6004 Lake Emma Road, Groveland, FL 34736 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-23 |
| ANNUAL REPORT | 2023-01-22 |
| ANNUAL REPORT | 2022-02-14 |
| ANNUAL REPORT | 2021-01-15 |
| ANNUAL REPORT | 2020-02-23 |
| ANNUAL REPORT | 2019-02-11 |
| ANNUAL REPORT | 2018-01-17 |
| ANNUAL REPORT | 2017-01-30 |
| ANNUAL REPORT | 2016-03-08 |
| ANNUAL REPORT | 2015-04-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
