| Entity Name: | NEUROPATHY RELIEF CENTER OF PANAMA CITY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 20 Sep 2013 (11 years ago) |
| Date of dissolution: | 01 May 2015 (10 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 01 May 2015 (10 years ago) |
| Document Number: | L13000133546 |
| FEI/EIN Number | 46-2853815 |
| Address: | 826 HARRISON AVENUE, SUITE C, PANAMA CITY, FL 32401 |
| Mail Address: | 826 HARRISON AVENUE, SUITE C, PANAMA CITY, FL 32401 |
| ZIP code: | 32401 |
| County: | Bay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699116079 | 2013-07-12 | 2013-09-30 | 826 HARRISON AVE, SUITE C, PANAMA CITY, FL, 324012526, US | 826 HARRISON AVE, SUITE C, PANAMA CITY, FL, 324012526, US | |||||||||||||||||||||
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| Phone | +1 850-215-2671 |
| Fax | 8502152691 |
Authorized person
| Name | MICHAEL MADEWELL |
| Role | OWNER |
| Phone | 8508901407 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE PTAN (PROVIDER TRANSACTION NUMBER) |
| Number | HN056A |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MADEWELL, MICHAEL P | Agent | 8115 BRANDON ROAD, PANAMA CITY, FL 32404 |
| Name | Role | Address |
|---|---|---|
| MADEWELL, MICHAEL P | Manager | 8115 BRANDON ROAD, PANAMA CITY, FL 32404 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2015-05-01 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2015-05-01 |
| ANNUAL REPORT | 2014-04-02 |
| Florida Limited Liability | 2013-09-20 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State
