| Entity Name: | CHILD NEUROLOGY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
CHILD NEUROLOGY, LLC 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. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 21 Mar 2006 (19 years ago) |
| Date of dissolution: | 23 Sep 2011 (14 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2011 (14 years ago) |
| Document Number: | L06000029693 |
| FEI/EIN Number |
134331551
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 4440 SHERIDAN STREET, HOLLYWOOD, FL, 33021 |
| Mail Address: | 4440 SHERIDAN STREET, HOLLYWOOD, FL, 33021 |
| ZIP code: | 33021 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710924956 | 2006-05-31 | 2008-05-16 | 4440 SHERIDAN STREET, HOLLYWOOD, FL, 33021, US | 4440 SHERIDAN STREET, HOLLYWOOD, FL, 33021, US | |||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 954-961-2423 |
| Fax | 9549614860 |
Authorized person
| Name | DR. TATYANA DUBROVSKY |
| Role | MANAGER OF THE CHILD NEUROLOGY LLC |
| Phone | 9549612423 |
Taxonomy
| Taxonomy Code | 2084N0402X - Neurology with Special Qualifications in Child Neurology Physician |
| License Number | ME70907 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 77841 |
| State | FL |
| Issuer | PEDIATRIC ASSOCIATES PSN |
| Number | 276469500 |
| State | FL |
| Issuer | FL NETPASS |
| Number | 276469500 |
| State | FL |
| Issuer | MEDICAID |
| Number | 276469500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DUBROVSKY TATYANA | Managing Member | 4440 SHERIDAN STREET, HOLLYWOOD, FL, 33021 |
| ATKINSON WILSON C | Agent | C/O ATKINSON, DINER, ET AL, FT. LAUDERDALE, FL, 33394 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2010-01-09 |
| ANNUAL REPORT | 2009-02-15 |
| ANNUAL REPORT | 2008-01-12 |
| ANNUAL REPORT | 2007-02-16 |
| Florida Limited Liability | 2006-03-21 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
