| Entity Name: | NEUROLOGY CENTER OF EXCELLENCE, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 18 Mar 2011 (14 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | L11000033438 |
| FEI/EIN Number | 450817209 |
| Mail Address: | 837 S. Main Street, Wildwood, FL, 34785, US |
| Address: | 837 S. Main St, Wildwood, FL, 34785, US |
| ZIP code: | 34785 |
| County: | Sumter |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679862130 | 2011-04-05 | 2019-08-27 | 837 S MAIN ST, WILDWOOD, FL, 347855302, US | 837 S MAIN ST, WILDWOOD, FL, 347855302, US | |||||||||||||||
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| Phone | +1 352-750-6387 |
| Fax | 3527537141 |
Authorized person
| Name | JONATHAN CARRIER |
| Role | BILLING MANAGER |
| Phone | 3527506387 |
Taxonomy
| Taxonomy Code | 2084N0600X - Clinical Neurophysiology Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NEUROLOGY CENTER OF EXCELLENCE 401 K PROFIT SHARING PLAN TRUST | 2017 | 450817209 | 2018-06-15 | NEUROLOGY CENTER OF EXCELLENCE | 11 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2018-06-15 |
| Name of individual signing | SHERI HAMNIK-BISBY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2014-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 3527506387 |
| Plan sponsor’s address | 804 HIGHWAY 466, LADY LAKE, FL, 321593918 |
Signature of
| Role | Plan administrator |
| Date | 2018-06-15 |
| Name of individual signing | SHERI HAMNIK-BISBY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2014-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 3527506387 |
| Plan sponsor’s address | 1050 OLD CAMP ROAD SUITE 282, THE VILLAGES, FL, 32162 |
Signature of
| Role | Plan administrator |
| Date | 2018-06-15 |
| Name of individual signing | SHERI HAMNIK-BISBY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2014-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 3527506387 |
| Plan sponsor’s address | 1050 OLD CAMP ROAD SUITE 282, THE VILLAGES, FL, 32162 |
Signature of
| Role | Plan administrator |
| Date | 2015-07-28 |
| Name of individual signing | NANCY KEEL |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Bisby SHERI | Agent | 837 S. Main Street, Wildwood, FL, 34785 |
| Name | Role | Address |
|---|---|---|
| Bisby SHERI EMD | Managing Member | 837 S. Main Street, Wildwood, FL, 34785 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000001032 | DR SHERI BISBY NEUROLOGY INSTITUTE OF THE VILLAGES | ACTIVE | 2021-01-04 | 2026-12-31 | No data | 837 SOUTH MAIN ST, WILDWOOD, FL, 34785 |
| G21000001040 | DR SHERI BISBY MEMORY INSTITUTE OF THE VILLAGES | ACTIVE | 2021-01-04 | 2026-12-31 | No data | 837 SOUTH MAIN ST, WILDWOOD, FL, 34785 |
| G16000097333 | DIET CENTER OF EXCELLENCE | EXPIRED | 2016-09-07 | 2021-12-31 | No data | 804 CR 466, LADY LAKE, FL, 32159 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-06-24 | 837 S. Main Street, Wildwood, FL 34785 | No data |
| CHANGE OF MAILING ADDRESS | 2020-06-24 | 837 S. Main St, Wildwood, FL 34785 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-10-07 | 837 S. Main St, Wildwood, FL 34785 | No data |
| REINSTATEMENT | 2019-10-07 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2018-01-08 | Bisby, SHERI | No data |
| LC STMNT OF RA/RO CHG | 2018-01-08 | No data | No data |
| REINSTATEMENT | 2016-11-17 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J13000062365 | TERMINATED | 1000000451493 | SUMTER | 2012-12-26 | 2023-01-02 | $ 2,736.33 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, LEESBURG SERVICE CENTER, 1904 THOMAS AVE STE 103, LEESBURG FL347483289 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-09-24 |
| ANNUAL REPORT | 2020-06-24 |
| REINSTATEMENT | 2019-10-07 |
| ANNUAL REPORT | 2018-01-16 |
| CORLCRACHG | 2018-01-08 |
| ANNUAL REPORT | 2017-01-09 |
| REINSTATEMENT | 2016-11-17 |
| ANNUAL REPORT | 2015-04-21 |
| ANNUAL REPORT | 2014-04-08 |
| ANNUAL REPORT | 2013-04-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
