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SPECTRUM NEUROLOGY GROUP, LLC

Company Details

Entity Name: SPECTRUM NEUROLOGY GROUP, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 21 Feb 2012 (13 years ago)
Document Number: L12000025105
FEI/EIN Number 45-4595386
Mail Address: 1825 nw corporate blvd, BOCA RATON, FL, 33431, US
Address: 1800 NW Corporate Blvd, BOCA RATON, FL, 33431, US
ZIP code: 33431
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1790374015 2021-01-12 2021-01-12 1800 NW CORPORATE BLVD STE 201, BOCA RATON, FL, 334317336, US 1800 NW CORPORATE BLVD STE 201, BOCA RATON, FL, 334317336, US

Contacts

Phone +1 877-414-4480

Authorized person

Name MARY SAGE
Role BILLING MANAGER
Phone 9548152286

Taxonomy

Taxonomy Code 2084N0400X - Neurology Physician
Is Primary Yes
Taxonomy Code 2085R0202X - Diagnostic Radiology Physician
Is Primary No

Agent

Name Role
CORPORATE CREATIONS NETWORK INC. Agent

Manager

Name Role Address
GOLDSTEIN BRAD Manager 1825 nw corporate blvd, BOCA RATON, FL, 33431

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-04-20 1800 NW Corporate Blvd, Suite 201, BOCA RATON, FL 33431 No data
REGISTERED AGENT ADDRESS CHANGED 2020-03-25 801 US HIGHWAY 1, NORTH PALM BEACH, FL 33408 No data
CHANGE OF MAILING ADDRESS 2016-01-15 1800 NW Corporate Blvd, Suite 201, BOCA RATON, FL 33431 No data

Documents

Name Date
ANNUAL REPORT 2024-02-20
ANNUAL REPORT 2023-01-20
ANNUAL REPORT 2022-02-10
ANNUAL REPORT 2021-02-02
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-02-06
ANNUAL REPORT 2018-01-17
ANNUAL REPORT 2017-01-13
ANNUAL REPORT 2016-01-15
ANNUAL REPORT 2015-03-23

Date of last update: 02 Feb 2025

Sources: Florida Department of State