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  5. NEUROPSYCHOLOGY CENTER, PL

NEUROPSYCHOLOGY CENTER, PL

Company Details

Entity Name: NEUROPSYCHOLOGY CENTER, PL
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 29 Jan 2007 (18 years ago)
Document Number: L07000010649
FEI/EIN Number 562639966
Address: 5153 NORTH 9TH AVENUE, SUITE 304, PENSACOLA, FL, 32504
Mail Address: 5153 NORTH 9TH AVENUE, SUITE 304, PENSACOLA, FL, 32504
ZIP code: 32504
County: Escambia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1447395975 2007-02-21 2007-12-14 5153 N 9TH AVE, SUITE 304, PENSACOLA, FL, 325048785, US 5153 N 9TH AVE, SUITE 304, PENSACOLA, FL, 325048785, US

Contacts
Phone +1 850-484-7800
Fax 8504847811

Authorized person
Name MS. SANDY DEL ROSARIO
Role OFFICE MANAGER
Phone 8504847800

Taxonomy
Taxonomy Code 103G00000X - Clinical Neuropsychologist
License Number PY6269
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NEUROPSYCHOLOGY CENTER, PL 401(K) PLAN 2013 562639966 2014-01-29 NEUROPSYCHOLOGY CENTER, PL 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621112
Sponsor’s telephone number 8504847800
Plan sponsor’s address 5153 N. 9TH AVENUE, SUITE 304, PENSACOLA, FL, 32504

Signature of
Role Plan administrator
Date 2014-01-29
Name of individual signing ALI KIZILBASH, PHD
Valid signature Filed with authorized/valid electronic signature
NEUROPSYCHOLOGY CENTER, PL 401(K) PLAN 2012 562639966 2013-06-10 NEUROPSYCHOLOGY CENTER, PL 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621112
Sponsor’s telephone number 8504847800
Plan sponsor’s address 560 WINDROSE CIRCLE, PENSACOLA, FL, 32507

Signature of
Role Plan administrator
Date 2013-06-10
Name of individual signing ALI KIZILBASH, PHD
Valid signature Filed with authorized/valid electronic signature
NEUROPSYCHOLOGY CENTER, PL 401(K) PLAN 2011 562639966 2012-05-07 NEUROPSYCHOLOGY CENTER, PL 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621112
Plan sponsor’s address 560 WINDROSE CIRCLE, PENSACOLA, FL, 32507

Plan administrator’s name and address
Administrator’s EIN 562639966
Plan administrator’s name NEUROPSYCHOLOGY CENTER, PL
Plan administrator’s address 560 WINDROSE CIRCLE, PENSACOLA, FL, 32507
Administrator’s telephone number 8504847800

Signature of
Role Plan administrator
Date 2012-05-07
Name of individual signing DR. ALI KIZILBASH
Valid signature Filed with authorized/valid electronic signature
NEUROPSYCHOLOGY CENTER, PL 401(K) PLAN 2010 562639966 2011-06-12 NEUROPSYCHOLOGY CENTER, PL 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621112
Sponsor’s telephone number 8504847800
Plan sponsor’s address 2420 BUENA VISTA STREET, PENSACOLA, FL, 32503

Plan administrator’s name and address
Administrator’s EIN 562639966
Plan administrator’s name NEUROPSYCHOLOGY CENTER, PL
Plan administrator’s address 2420 BUENA VISTA STREET, PENSACOLA, FL, 32503
Administrator’s telephone number 8504847800

Signature of
Role Plan administrator
Date 2011-06-12
Name of individual signing ALI KIZILBASH, PHD
Valid signature Filed with authorized/valid electronic signature
NEUROPSYCHOLOGY CENTER, PL 401(K) PLAN 2010 562639966 2011-06-12 NEUROPSYCHOLOGY CENTER, PL 7
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621112
Sponsor’s telephone number 8504847800
Plan sponsor’s address 2420 BUENA VISTA STREET, PENSACOLA, FL, 32503

Plan administrator’s name and address
Administrator’s EIN 562639966
Plan administrator’s name NEUROPSYCHOLOGY CENTER, PL
Plan administrator’s address 2420 BUENA VISTA STREET, PENSACOLA, FL, 32503
Administrator’s telephone number 8504847800

Signature of
Role Plan administrator
Date 2011-06-12
Name of individual signing ALI KIZILBASH, PHD
Valid signature Filed with authorized/valid electronic signature
NEUROPSYCHOLOGY CENTER, PL 401(K) PLAN 2009 562639966 2010-08-16 NEUROPSYCHOLOGY CENTER, PL 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621112
Sponsor’s telephone number 8504847800
Plan sponsor’s address 3003 BLACKSHEAR AVENUE, PENSACOLA, FL, 32503

Plan administrator’s name and address
Administrator’s EIN 562639966
Plan administrator’s name NEUROPSYCHOLOGY CENTER, PL
Plan administrator’s address 3003 BLACKSHEAR AVENUE, PENSACOLA, FL, 32503
Administrator’s telephone number 8504847800

Signature of
Role Plan administrator
Date 2010-08-16
Name of individual signing ALI KIZILBASH
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
SANDERS ABIGAIL K Agent 1108-C NORTH 12TH AVENUE, PENSACOLA, FL, 32501

Manager

Name Role Address
KIZILBASH ALI Manager 5153 NORTH 9TH AVENUE, SUITE 304, PENSACOLA, FL, 32504

Documents

Name Date
ANNUAL REPORT 2024-03-19
ANNUAL REPORT 2023-03-01
ANNUAL REPORT 2022-04-07
ANNUAL REPORT 2021-02-01
ANNUAL REPORT 2020-03-16
ANNUAL REPORT 2019-03-14
ANNUAL REPORT 2018-02-26
ANNUAL REPORT 2017-03-27
ANNUAL REPORT 2016-03-04
ANNUAL REPORT 2015-02-27

Related by officers

SANDERS ABIGAIL K

FULLY INVOLVED OF PENSACOLA, LLC IN TOUCH WITH THE SEA, INC. MAD HAPPY, L.L.C. MARTIN BROTHERS, L.L.C. KEVIN B. SANDERS M.D., P.L. ABIGAIL K. SANDERS, P.L. QUALITY CLEANERS II, LLC GAJO, GOLDBERG & ASSOCIATES, LLC GGMN ENTERPRISES, LLC SOUTHEAST MEDICAL ACTION TRAINERS, L.L.C.

Related by address

No related companies by address

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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