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NEURO-REHAB PSYCHOLOGY GROUP OF TAMPA, LLC - Florida Company Profile

Company Details

Entity Name: NEURO-REHAB PSYCHOLOGY GROUP OF TAMPA, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

NEURO-REHAB PSYCHOLOGY GROUP OF TAMPA, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 09 Jul 2014 (11 years ago)
Document Number: L14000108562
FEI/EIN Number 47-1303518

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 5421 Beaumont Center Blvd, Tampa, FL, 33634, US
Mail Address: 5421 Beaumont Center Blvd, Tampa, FL, 33634, US
ZIP code: 33634
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1518373521 2014-07-10 2016-05-13 4400 W SPRUCE ST, #105, TAMPA, FL, 336074149, US 4400 W SPRUCE ST, 105, TAMPA, FL, 336074149, US

Authorized person

Name DR. MICHELLE B AYALA-FELICIANO
Role CLINICAL PSYCHOLOGIST
Phone 7872494600

Taxonomy

Taxonomy Code 103G00000X - Clinical Neuropsychologist
Is Primary No
Taxonomy Code 103TB0200X - Cognitive & Behavioral Psychologist
Is Primary No
Taxonomy Code 103TC0700X - Clinical Psychologist
Is Primary Yes
Taxonomy Code 103TF0000X - Family Psychologist
Is Primary No
Taxonomy Code 103TH0100X - Health Service Psychologist
Is Primary No
Taxonomy Code 103TR0400X - Rehabilitation Psychologist
Is Primary No

Key Officers & Management

Name Role Address
Ayala-Feliciano Michelle Dr 5421 Beaumont Center Blvd, Tampa, FL, 33634
Ayala-Feliciano Michelle Dr. Agent 5421 Beaumont Center Blvd, Tampa, FL, 33634

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-04-07 5421 Beaumont Center Blvd, Suite 650, Tampa, FL 33634 -
CHANGE OF MAILING ADDRESS 2022-04-07 5421 Beaumont Center Blvd, Suite 650, Tampa, FL 33634 -
REGISTERED AGENT ADDRESS CHANGED 2022-04-07 5421 Beaumont Center Blvd, Suite 650, Tampa, FL 33634 -
REGISTERED AGENT NAME CHANGED 2020-03-05 Ayala-Feliciano, Michelle, Dr. -

Documents

Name Date
ANNUAL REPORT 2024-05-01
ANNUAL REPORT 2023-04-14
ANNUAL REPORT 2022-04-07
ANNUAL REPORT 2021-02-10
ANNUAL REPORT 2020-03-05
ANNUAL REPORT 2019-05-27
ANNUAL REPORT 2018-03-25
ANNUAL REPORT 2017-04-21
ANNUAL REPORT 2016-04-12
ANNUAL REPORT 2015-04-14

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9061297103 2020-04-15 0455 PPP 6601 Memorial Hwy #218, TAMPA, FL, 33615
Loan Status Date 2022-05-19
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 21583
Loan Approval Amount (current) 21500
Undisbursed Amount 0
Franchise Name -
Lender Location ID 123499
Servicing Lender Name BayFirst National Bank
Servicing Lender Address 700 Central Avenue, Saint Petersburg, FL, 33701
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address TAMPA, HILLSBOROUGH, FL, 33615-0037
Project Congressional District FL-14
Number of Employees 1
NAICS code 621330
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 123499
Originating Lender Name BayFirst National Bank
Originating Lender Address Saint Petersburg, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 21077.86
Forgiveness Paid Date 2021-07-15

Date of last update: 01 Apr 2025

Sources: Florida Department of State