| Entity Name: | OPTIMA NEUROLOGICAL SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
OPTIMA NEUROLOGICAL SERVICES, 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: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 22 Dec 2008 (16 years ago) |
| Date of dissolution: | 28 Sep 2012 (13 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (13 years ago) |
| Document Number: | L08000115749 |
| FEI/EIN Number |
263835938
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 5318 SW 91ST TERRACE, SUITE B, GAINESVILLE, FL, 32608 |
| Mail Address: | 5318 SW 91ST TERRACE, SUITE B, GAINESVILLE, FL, 32608 |
| ZIP code: | 32608 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194950949 | 2009-05-22 | 2009-05-22 | 5318 SW 91ST TER, SUITE B, GAINESVILLE, FL, 326088125, US | 5318 SW 91ST TER, SUITE B, GAINESVILLE, FL, 326088125, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 352-375-5553 |
| Fax | 3525055506 |
Authorized person
| Name | JAMES CHRIS SACKELLARES |
| Role | CHIEF MEDICAL OFFICER |
| Phone | 3523755553 |
Taxonomy
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| License Number | ME0072689 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 373950300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SACKELLARES JAMES C | Manager | 9841 SW 55TH ROAD, GAINESVILLE, FL, 32608 |
| SACKELLARES JAMES C | Agent | 9841 SW 55TH ROAD, GAINESVILLE, FL, 32608 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-04-21 |
| ANNUAL REPORT | 2010-04-30 |
| ANNUAL REPORT | 2009-04-24 |
| Florida Limited Liability | 2008-12-22 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
