| Entity Name: | CENTRAL FLORIDA NEUROPSYCHOLOGY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 19 Sep 2008 (16 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 02 Oct 2014 (10 years ago) |
| Document Number: | L08000089289 |
| FEI/EIN Number | 263391255 |
| Address: | 3205 Physicians Way, Sebring, FL, 33870, US |
| Mail Address: | 3205 Physicians Way, Sebring, FL, 33870, US |
| ZIP code: | 33870 |
| County: | Highlands |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235375387 | 2008-12-19 | 2014-08-12 | PO BOX 7365, SEBRING, FL, 338720107, US | 4646 NADENA DR, SEBRING, FL, 338721779, US | |||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||
| Phone | +1 866-448-1965 |
| Fax | 8882421396 |
Authorized person
| Name | DR. SUSAN CRUM |
| Role | PSYCHOLOGIST/DIRECTOR |
| Phone | 8664881965 |
Taxonomy
| Taxonomy Code | 103G00000X - Clinical Neuropsychologist |
| Is Primary | Yes |
| Taxonomy Code | 103TB0200X - Cognitive & Behavioral Psychologist |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | PY6618 |
| State | FL |
| Is Primary | No |
| Name | Role |
|---|---|
| AMERICAN SAFETY COUNCIL, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| Susan Crum | Managing Member | 4646 Nadena Drive, Sebring, FL, 33872 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G08263900313 | ABLE2LEARN | EXPIRED | 2008-09-19 | 2013-12-31 | No data | 4646 NADENA DRIVE, SEBRING, FL, 33872 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2021-04-29 | 3205 Physicians Way, Sebring, FL 33870 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-29 | 3205 Physicians Way, Sebring, FL 33870 | No data |
| REINSTATEMENT | 2014-10-02 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| LC DISSOCIATION MEM | 2014-07-03 | No data | No data |
| LC AMENDMENT | 2011-12-30 | No data | No data |
| LC AMENDMENT | 2010-10-18 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-02-21 |
| ANNUAL REPORT | 2022-04-19 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-02-04 |
| ANNUAL REPORT | 2019-01-31 |
| ANNUAL REPORT | 2018-04-06 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-03-08 |
| ANNUAL REPORT | 2015-01-10 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 8493137307 | 2020-05-01 | 0455 | PPP | 4844 Sun N Lake Blvd, Sebring, FL, 33872 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Date of last update: 03 Feb 2025
Sources: Florida Department of State
