| 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. |
| 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 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194911768 | 2007-09-18 | 2012-10-05 | 535 S FERDON BLVD, SUITE C, CRESTVIEW, FL, 325364237, US | 535 S FERDON BLVD, SUITE C, CRESTVIEW, FL, 325364446, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 850-423-4664 |
| Fax | 8503988824 |
Authorized person
| Name | SHIJUN PAN |
| Role | OWNER / PHYSICIAN |
| Phone | 8504234664 |
Taxonomy
| Taxonomy Code | 2084N0400X - Neurology Physician |
| Is Primary | Yes |
| 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 |
| 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 | - |
| 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 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2312917310 | 2020-04-29 | 0491 | PPP | 535 S FERDON BLVD, CRESTVIEW, FL, 32536-4446 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Date of last update: 01 Mar 2025
Sources: Florida Department of State
