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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.
Status: Active
Date Filed: 26 Jul 2007 (18 years ago)
Document Number: L07000077233
FEI/EIN Number 582540259
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
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 Aug 2025

Sources: Florida Department of State