| Entity Name: | NEUROSCIENCE SPECIALISTS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 06 Jan 2014 (11 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 27 Sep 2016 (8 years ago) |
| Document Number: | L14000002185 |
| FEI/EIN Number | 46-4423926 |
| Address: | 1 Oakwood Blvd, Suite 265, Hollywood, FL 33020 |
| Mail Address: | 1 Oakwood Boulevard, Suite 265, Hollywood, FL 33020 |
| ZIP code: | 33020 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780087031 | 2014-10-01 | 2014-10-01 | 4800 LINTON BLVD, SUITE D502A, DELRAY BEACH, FL, 334456584, US | 4800 LINTON BLVD, SUITE D502A, DELRAY BEACH, FL, 334456584, US | |||||||||||||||||||||||||||||||||||
|
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| Phone | +1 561-808-7205 |
| Fax | 5615846804 |
Authorized person
| Name | DR. HEIDI ERICKSON |
| Role | OWNER |
| Phone | 5618087205 |
Taxonomy
| Taxonomy Code | 2080P0006X - Developmental - Behavioral Pediatrics Physician |
| License Number | ME115146 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | ME115146 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 2084P0804X - Child & Adolescent Psychiatry Physician |
| License Number | ME115146 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| MARTIN, HAROLD R | Agent | 9765 NAPOLI WOODS LANE, DELRAY BEACH, FL 33446 |
| Name | Role | Address |
|---|---|---|
| Erickson, Heidi, Dr. | Manager | 1 Oakwood Blvd, Suite 265 Hollywoof, FL 33020 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000051350 | TRI-COUNTY CENTER FOR INTEGRATIVE MEDICINE | EXPIRED | 2017-05-09 | 2022-12-31 | No data | 4800 LINTON BLVD SUITE D502A, DELRAY BEACH, FL, 33445 |
| G17000050569 | NEUROSCIENCE SPECIALISTS LLC | EXPIRED | 2017-05-08 | 2022-12-31 | No data | 4800 LINTON BLVD SUITE D502A, DELRAY BEACH, FL, 33445 |
| G17000030851 | FLORIDA COMPLETE PSYCHIATRY | EXPIRED | 2017-03-23 | 2022-12-31 | No data | 4800 LINTON BLVD, SUITE D502A, DELRAY BEACH, FL, 33445 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-08 | 1 Oakwood Blvd, Suite 265, Hollywood, FL 33020 | No data |
| CHANGE OF MAILING ADDRESS | 2023-03-08 | 1 Oakwood Blvd, Suite 265, Hollywood, FL 33020 | No data |
| REINSTATEMENT | 2016-09-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2016-09-27 | MARTIN, HAROLD R | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-22 |
| ANNUAL REPORT | 2023-03-08 |
| ANNUAL REPORT | 2022-04-12 |
| ANNUAL REPORT | 2021-03-23 |
| ANNUAL REPORT | 2020-03-30 |
| ANNUAL REPORT | 2019-05-13 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-13 |
| AMENDED ANNUAL REPORT | 2016-10-20 |
| REINSTATEMENT | 2016-09-27 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State
