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  5. FLORIDA NEUROLOGICAL CENTER, LLC

FLORIDA NEUROLOGICAL CENTER, LLC

Company Details

Entity Name: FLORIDA NEUROLOGICAL CENTER, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 03 Oct 2003 (21 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 01 Mar 2023 (2 years ago)
Document Number: L03000037913
FEI/EIN Number 760744751
Address: 2237 SW 19TH AVE ST, STE 101, OCALA, FL, 34471
Mail Address: 2237 SW 19TH AVE ST, STE 101, OCALA, FL, 34471
ZIP code: 34471
County: Marion
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1528242906 2007-12-20 2011-01-25 2237 SW 19TH AVE RD, SUITE 101, OCALA, FL, 344716505, US 2237 SW 19TH AVENUE RD, SUITE 101, OCALA, FL, 344717751, US

Contacts
Phone +1 352-867-9877
Fax 3528671040

Authorized person
Name DR. LANCE Y KIM
Role PRESIDENT
Phone 3528679877

Taxonomy
Taxonomy Code 174400000X - Specialist
License Number OS7448
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FLORIDA NEUROLOGICAL CENTER 401(K) PROFIT SHARING PLAN AND TRUST 2023 760744751 2024-09-17 FLORIDA NEUROLOGICAL CENTER, LLC 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 3528679877
Plan sponsor’s address 2237 SW 19TH AVE. RD SUITE 101, OCALA, FL, 34471
FLORIDA NEUROLOGICAL CENTER 401(K) PROFIT SHARING PLAN AND TRUST 2022 760744751 2023-10-13 FLORIDA NEUROLOGICAL CENTER, LLC 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621510
Sponsor’s telephone number 3528679877
Plan sponsor’s address 2237 SW 19TH AVE. RD SUITE 101, OCALA, FL, 34471
FLORIDA NEUROLOGICAL CENTER 401(K) PROFIT SHARING PLAN AND TRUST 2021 760744751 2022-10-17 FLORIDA NEUROLOGICAL CENTER, LLC 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 3528679877
Plan sponsor’s address 2237 SW 19TH AVENUE ROAD SUITE 101, OCALA, FL, 34471
FLORIDA NEUROLOGICAL CENTER 401(K) PROFIT SHARING PLAN AND TRUST 2020 760744751 2021-10-14 FLORIDA NEUROLOGICAL CENTER, LLC 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 3528679877
Plan sponsor’s address 2237 SW 19TH AVENUE ROAD SUITE 101, OCALA, FL, 34471

Signature of
Role Plan administrator
Date 2021-10-14
Name of individual signing LANCE KIM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-14
Name of individual signing MARIE KIM
Valid signature Filed with authorized/valid electronic signature
FLORIDA NEUROLOGICAL CENTER 401(K) PROFIT SHARING PLAN AND TRUST 2019 760744751 2020-10-07 FLORIDA NEUROLOGICAL CENTER, LLC 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 3343475111
Plan sponsor’s address 2237 SW 19TH AVENUE RD, SUITE 101, OCALA, FL, 34471

Signature of
Role Plan administrator
Date 2020-10-07
Name of individual signing LANCE KIM
Valid signature Filed with authorized/valid electronic signature
FLORIDA NEUROLOGICAL CENTER, LLC 401(K) PLAN 2014 760744751 2015-10-13 FLORIDA NEUROLOGICAL CENTER, LLC 59
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 541990
Sponsor’s telephone number 3528679877
Plan sponsor’s address 2237 SW 19TH AVENUE, SUITE 101, OCALA, FL, 34471
FLORIDA NEUROLOGICAL CENTER, LLC 401(K) PLAN 2013 760744751 2014-10-06 FLORIDA NEUROLOGICAL CENTER, LLC 57
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 541990
Sponsor’s telephone number 3528679877
Plan sponsor’s address 2237 SW 19TH AVENUE, SUITE 101, OCALA, FL, 34471

Signature of
Role Plan administrator
Date 2014-10-06
Name of individual signing LANCE Y. KIM, D.O.
Valid signature Filed with authorized/valid electronic signature
FLORIDA NEUROLOGICAL CENTER, LLC 401(K) PLAN 2012 760744751 2013-10-04 FLORIDA NEUROLOGICAL CENTER, LLC 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 541990
Sponsor’s telephone number 3528679877
Plan sponsor’s address 2237 SW 19TH AVENUE, SUITE 101, OCALA, FL, 34471

Signature of
Role Plan administrator
Date 2013-10-04
Name of individual signing LANCE Y. KIM, D.O.
Valid signature Filed with authorized/valid electronic signature
FLORIDA NEUROLOGICAL CENTER, LLC 401(K) PLAN 2011 760744751 2012-09-18 FLORIDA NEUROLOGICAL CENTER, LLC 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 541990
Sponsor’s telephone number 3528679877
Plan sponsor’s address 2237 SW 19TH AVENUE, SUITE 101, OCALA, FL, 34471

Plan administrator’s name and address
Administrator’s EIN 760744751
Plan administrator’s name FLORIDA NEUROLOGICAL CENTER, LLC
Plan administrator’s address 2237 SW 19TH AVENUE, SUITE 101, OCALA, FL, 34471
Administrator’s telephone number 3528679877

Signature of
Role Plan administrator
Date 2012-09-18
Name of individual signing LANCE Y. KIM, D.O.
Valid signature Filed with authorized/valid electronic signature
FLORIDA NEUROLOGICAL CENTER, LLC 401(K) PLAN 2010 760744751 2011-05-20 FLORIDA NEUROLOGICAL CENTER, LLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 541990
Sponsor’s telephone number 3528679877
Plan sponsor’s address 2237 SW 19TH AVENUE, SUITE 101, OCALA, FL, 34471

Plan administrator’s name and address
Administrator’s EIN 760744751
Plan administrator’s name FLORIDA NEUROLOGICAL CENTER, LLC
Plan administrator’s address 2237 SW 19TH AVENUE, SUITE 101, OCALA, FL, 34471
Administrator’s telephone number 3528679877

Signature of
Role Plan administrator
Date 2011-05-20
Name of individual signing LANCE Y. KIM, D.O.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
KIM LANCE Y Agent 2237 SW 19TH AVE ST, STE 101, OCALA, FL, 34471

Managing Member

Name Role Address
KIM LANCE Y Managing Member 2237 SW 19TH AVE ST, STE 101, OCALA, FL, 34471

Events

Event Type Filed Date Value Description
REINSTATEMENT 2023-03-01 No data No data
REGISTERED AGENT NAME CHANGED 2023-03-01 KIM, LANCE Y No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data
REGISTERED AGENT ADDRESS CHANGED 2009-04-27 2237 SW 19TH AVE ST, STE 101, OCALA, FL 34471 No data
CHANGE OF PRINCIPAL ADDRESS 2008-07-18 2237 SW 19TH AVE ST, STE 101, OCALA, FL 34471 No data
CHANGE OF MAILING ADDRESS 2008-07-18 2237 SW 19TH AVE ST, STE 101, OCALA, FL 34471 No data

Documents

Name Date
ANNUAL REPORT 2024-02-09
REINSTATEMENT 2023-03-01
ANNUAL REPORT 2021-01-11
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-02-09
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-05-09
ANNUAL REPORT 2016-03-30
ANNUAL REPORT 2015-05-01
ANNUAL REPORT 2014-04-28

Related by officers

KIM LANCE Y

FNC & CUVEE, LLC BURNING BUSH, LLC COSMOPOLITAN DEVELOPMENT, LLC L&MK, INC. PROMISED VILLAGES, LLC

Related by address

2237 SW 19TH AVE ST, STE 101, OCALA, FL, 34471

CUVEE WINE & BISTRO, LLC BURNING BUSH, LLC PROMISED VILLAGES, LLC

2237 SW 19TH AVE ST, STE 101, OCALA, FL, 34471

CUVEE WINE & BISTRO, LLC BURNING BUSH, LLC PROMISED VILLAGES, LLC

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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