| Entity Name: | NEUROLOGY ASSOCIATES OF SOUTH FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 12 Apr 2005 (20 years ago) |
| Date of dissolution: | 28 Apr 2016 (9 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 28 Apr 2016 (9 years ago) |
| Document Number: | L05000036484 |
| FEI/EIN Number | NOT APPLICABLE |
| Address: | 1625 S.E. 3RD AVE., SUITE #723, FT. LAUDERDALE, FL, 33316 |
| Mail Address: | PO BOX 824007, PEMBROKE PINES, FL, 33082 |
| ZIP code: | 33316 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023133097 | 2007-03-20 | 2011-03-18 | PO BOX 824007, PEMBROKE PINES, FL, 330824007, US | 201 NW 82ND AVE, SUITE 502, PLANTATION, FL, 333247808, US | |||||||||||||||
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| Phone | +1 954-236-6602 |
| Fax | 9542368045 |
Authorized person
| Name | ROY DE BASISH |
| Role | OFFICE MANAGER |
| Phone | 9542366602 |
Taxonomy
| Taxonomy Code | 2084N0400X - Neurology Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NEUROLOGY ASSOCIATES OF SOUTH FLORIDA DEFINED BENEFIT PLAN | 2009 | 061741512 | 2010-10-04 | NEUROLOGY ASSOCIATES OF SOUTH FLORIDA LLC | 3 | |||||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 061741512 |
| Plan administrator’s name | NEUROLOGY ASSOCIATES OF SOUTH FLORIDA LLC |
| Plan administrator’s address | 1625 SE 3RD AVENUE, SUITE 723, FORT LAUDERDALE, FL, 33316 |
| Administrator’s telephone number | 9542366602 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-04 |
| Name of individual signing | TANUSHREE ROY |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2010-10-04 |
| Name of individual signing | TANUSHREE ROY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2006-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9542366602 |
| Plan sponsor’s address | 1625 SE 3RD AVENUE, SUITE 723, FORT LAUDERDALE, FL, 33316 |
Plan administrator’s name and address
| Administrator’s EIN | 061741512 |
| Plan administrator’s name | NEUROLOGY ASSOCIATES OF SOUTH FLORIDA LLC |
| Plan administrator’s address | 1625 SE 3RD AVENUE, SUITE 723, FORT LAUDERDALE, FL, 33316 |
| Administrator’s telephone number | 9542366602 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-04 |
| Name of individual signing | TANUSHREE ROY |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2010-10-04 |
| Name of individual signing | TANUSHREE ROY |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2006-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9542366602 |
| Plan sponsor’s address | 1625 SE 3RD AVENUE, SUITE 723, FORT LAUDERDALE, FL, 33316 |
Plan administrator’s name and address
| Administrator’s EIN | 061741512 |
| Plan administrator’s name | NEUROLOGY ASSOCIATES OF SOUTH FLORIDA LLC |
| Plan administrator’s address | 1625 SE 3RD AVENUE, SUITE 723, FORT LAUDERDALE, FL, 33316 |
| Administrator’s telephone number | 9542366602 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-04 |
| Name of individual signing | TANUSHREE ROY |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2010-10-04 |
| Name of individual signing | TANUSHREE ROY |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| INCORP SERVICES, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| ROY TANUSHREE | Managing Member | 1491 CROFTWOOD DRIVE, MELBOURNE, FL, 32935 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-17 | 3458 LAKESHORE DRIVE, TALLAHASSEE, FL 32312 | No data |
| VOLUNTARY DISSOLUTION | 2016-04-28 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2006-04-25 | 1625 S.E. 3RD AVE., SUITE #723, FT. LAUDERDALE, FL 33316 | No data |
| Name | Date |
|---|---|
| Reg. Agent Resignation | 2020-04-01 |
| VOLUNTARY DISSOLUTION | 2016-04-28 |
| ANNUAL REPORT | 2015-03-29 |
| ANNUAL REPORT | 2014-04-20 |
| ANNUAL REPORT | 2013-04-06 |
| ANNUAL REPORT | 2012-04-08 |
| ANNUAL REPORT | 2011-04-03 |
| ANNUAL REPORT | 2010-04-04 |
| ANNUAL REPORT | 2009-04-23 |
| ANNUAL REPORT | 2008-04-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
