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GULF COAST NEUROPSYCHOLOGY, LLC

Company Details

Entity Name: GULF COAST NEUROPSYCHOLOGY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 16 May 2013 (12 years ago)
Document Number: L13000071942
FEI/EIN Number 46-2799606
Address: 2650 BAHIA VISTA STREET, SUITE 201, SARASOTA, FL 34239
Mail Address: 2650 BAHIA VISTA STREET, SUITE 201, SARASOTA, FL 34239
ZIP code: 34239
County: Sarasota
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1972039584 2017-05-03 2017-06-05 2650 BAHIA VISTA ST, SUITE 201, SARASOTA, FL, 342392635, US 2650 BAHIA VISTA ST, SUITE 201, SARASOTA, FL, 342392635, US

Contacts

Phone +1 941-993-3074
Fax 9417223039

Authorized person

Name DR. SHAUN KELLEY O'NEAL
Role OWNER
Phone 9419933074

Taxonomy

Taxonomy Code 103G00000X - Clinical Neuropsychologist
License Number PY7351
State FL
Is Primary Yes

Agent

Name Role Address
DORMAN, LORI M, ESQ. Agent 410 43rd St W, Ste N, Bradenton, FL 34209

Manager

Name Role Address
ALLEN, S. JOLENE Manager 2650 BAHIA VISTA STREET, SUITE 201, SARASOTA, FL 34239

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2024-03-19 410 43rd St W, Ste N, Bradenton, FL 34209 No data

Documents

Name Date
ANNUAL REPORT 2024-03-19
ANNUAL REPORT 2023-01-07
ANNUAL REPORT 2022-01-25
ANNUAL REPORT 2021-02-16
ANNUAL REPORT 2020-01-11
ANNUAL REPORT 2019-02-06
ANNUAL REPORT 2018-03-08
ANNUAL REPORT 2017-01-08
ANNUAL REPORT 2016-03-03
ANNUAL REPORT 2015-02-22

Date of last update: 22 Jan 2025

Sources: Florida Department of State