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CRESTVIEW NEUROLOGY, LLC - Florida Company Profile

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Company Details

Entity Name: CRESTVIEW NEUROLOGY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

CRESTVIEW 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.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 26 Jul 2007 (18 years ago)
Document Number: L07000077233
FEI/EIN Number 582540259

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 535 S Ferdon Blvd, Ste C, Crestview, FL, 32536, US
Mail Address: 535 S Ferdon Blvd, Ste C, Crestview, FL, 32536, US
ZIP code: 32536
City: Crestview
County: Okaloosa
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
PAN SHIJUN Managing Member 535 S FERDON BLVD, SUITE C, CRESTVIEW, FL, 32536
PAN SHIJUN Agent 535 S FERDON BLVD, CRESTVIEW, FL, 32536

National Provider Identifier

NPI Number:
1194911768

Authorized Person:

Name:
SHIJUN PAN
Role:
OWNER / PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
2084N0400X - Neurology Physician
Is Primary:
Yes

Contacts:

Fax:
8503988824

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2013-01-26 535 S Ferdon Blvd, Ste C, Crestview, FL 32536 -
CHANGE OF MAILING ADDRESS 2013-01-26 535 S Ferdon Blvd, Ste C, Crestview, FL 32536 -
REGISTERED AGENT ADDRESS CHANGED 2013-01-26 535 S FERDON BLVD, SUITE C, CRESTVIEW, FL 32536 -

Documents

Name Date
ANNUAL REPORT 2025-02-09
ANNUAL REPORT 2024-02-05
ANNUAL REPORT 2023-02-11
ANNUAL REPORT 2022-03-12
ANNUAL REPORT 2021-02-14
ANNUAL REPORT 2020-01-12
ANNUAL REPORT 2019-03-31
ANNUAL REPORT 2018-02-04
ANNUAL REPORT 2017-01-14
ANNUAL REPORT 2016-02-08

USAspending Awards / Financial Assistance

Date:
2020-04-29
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
24835.00
Total Face Value Of Loan:
24835.00

Paycheck Protection Program

Jobs Reported:
2
Initial Approval Amount:
$24,835
Date Approved:
2020-04-29
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$24,835
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$25,097.64
Servicing Lender:
Synovus Bank
Use of Proceeds:
Payroll: $24,835

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Date of last update: 02 Jul 2025

Sources: Florida Department of State