| Entity Name: | NEUROLOGY AND SPINE CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 27 Sep 2010 (14 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 22 Aug 2023 (a year ago) |
| Document Number: | L10000100807 |
| FEI/EIN Number | 272016148 |
| Address: | 10201 Arcos Avenue, Estero, FL, 33928, US |
| Mail Address: | PO BOX 313, Estero, FL, 33929, US |
| ZIP code: | 33928 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821313503 | 2010-04-06 | 2023-08-21 | PO BOX 313, ESTERO, FL, 339290313, US | 10201 ARCOS AVE STE 103, ESTERO, FL, 339289460, US | |||||||||||||||||||||
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| Phone | +1 239-949-9000 |
| Fax | 2399499020 |
Authorized person
| Name | THOMAS C MORELL |
| Role | OWNER |
| Phone | 2399499000 |
Taxonomy
| Taxonomy Code | 2084N0400X - Neurology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE PTAN |
| Number | DF607A |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NEUROLOGY AND SPINE CENTER 401(K) PROFIT SHARING PLAN | 2012 | 272016148 | 2013-10-02 | NEUROLOGY AND SPINE CENTER | 2 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2013-10-02 |
| Name of individual signing | JAMIE E. MCARTHUR |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2013-10-02 |
| Name of individual signing | THOMAS C. MORELL MD |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2011-01-01 |
| Business code | 621498 |
| Plan sponsor’s address | 3501 HEALTH CENTER BLVD., SUITE 2140, BONITA SPRINGS, FL, 34135 |
Plan administrator’s name and address
| Administrator’s EIN | 272016148 |
| Plan administrator’s name | NEUROLOGY AND SPINE CENTER |
| Plan administrator’s address | 3501 HEALTH CENTER BLVD., SUITE 2140, BONITA SPRINGS, FL, 34135 |
Signature of
| Role | Plan administrator |
| Date | 2012-10-16 |
| Name of individual signing | JAMIE MCARTHUR |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2011-01-01 |
| Business code | 621498 |
| Plan sponsor’s address | 3501 HEALTH CENTER BLVD., SUITE 2140, BONITA SPRINGS, FL, 34135 |
Plan administrator’s name and address
| Administrator’s EIN | 272016148 |
| Plan administrator’s name | NEUROLOGY AND SPINE CENTER |
| Plan administrator’s address | 3501 HEALTH CENTER BLVD., SUITE 2140, BONITA SPRINGS, FL, 34135 |
Signature of
| Role | Plan administrator |
| Date | 2012-10-16 |
| Name of individual signing | JAMIE MCARTHUR |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| MORELL THOMAS M | Agent | 10201 Arcos Avenue, Estero, FL, 33928 |
| Name | Role | Address |
|---|---|---|
| MORELL THOMAS M | Managing Member | 10201 ARCOS AVENUE, SUITE 103, ESTRO, FL, 33928 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC STMNT OF RA/RO CHG | 2023-08-22 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-08-22 | 10201 Arcos Avenue, #103, Estero, FL 33928 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-08-04 | 10201 Arcos Avenue, #103, Estero, FL 33928 | No data |
| CHANGE OF MAILING ADDRESS | 2023-03-02 | 10201 Arcos Avenue, #103, Estero, FL 33928 | No data |
| REINSTATEMENT | 2013-10-07 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-26 |
| CORLCRACHG | 2023-08-22 |
| ANNUAL REPORT | 2023-03-02 |
| ANNUAL REPORT | 2022-01-04 |
| ANNUAL REPORT | 2021-01-08 |
| ANNUAL REPORT | 2020-01-15 |
| ANNUAL REPORT | 2019-04-01 |
| ANNUAL REPORT | 2018-01-04 |
| ANNUAL REPORT | 2017-01-03 |
| ANNUAL REPORT | 2016-01-04 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
