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NEUROLOGY & NEURODIAGNOSTICS, LLC

Company Details

Entity Name: NEUROLOGY & NEURODIAGNOSTICS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 14 Aug 2014 (10 years ago)
Document Number: L14000127788
FEI/EIN Number 47-1656995
Address: 1355 S INTERNATIONAL PKWY, LAKE MARY, FL, 32746, US
Mail Address: 1355 S. INTERNATIONAL PKWY, LAKE MARY, FL, 32746, US
ZIP code: 32746
County: Seminole
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1760882617 2014-08-28 2016-11-18 PO BOX 951316, LAKE MARY, FL, 327951316, US 1355 S INTERNATIONAL PKWY, SUITE 2451, LAKE MARY, FL, 327461694, US

Contacts

Phone +1 407-250-3290

Authorized person

Name DR. JUAN ROS-ESCALANTE
Role PHYSICIAN
Phone 6027435501

Taxonomy

Taxonomy Code 2084N0400X - Neurology Physician
License Number ME109269
State FL
Is Primary Yes

Agent

Name Role Address
DIAZ MARIA D Agent 1355 S INTERNATIONAL PKWY, LAKE MARY, FL, 32746

Manager

Name Role Address
DIAZ-CALDERON MARIA D Manager 1355 S INTERNATIONAL PKWY, LAKE MARY, FL, 32746

Auth

Name Role Address
ROS-ESCALANTE JUAN Auth 1355 S INTERNATIONAL PKWY, LAKE MARY, FL, 32746

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2017-04-27 1355 S INTERNATIONAL PKWY, SUITE 2451, LAKE MARY, FL 32746 No data
CHANGE OF MAILING ADDRESS 2017-04-27 1355 S INTERNATIONAL PKWY, SUITE 2451, LAKE MARY, FL 32746 No data
REGISTERED AGENT NAME CHANGED 2017-04-27 DIAZ , MARIA DESIREE No data
REGISTERED AGENT ADDRESS CHANGED 2017-04-27 1355 S INTERNATIONAL PKWY, SUITE 2451, LAKE MARY, FL 32746 No data

Documents

Name Date
ANNUAL REPORT 2024-04-23
ANNUAL REPORT 2023-04-28
ANNUAL REPORT 2022-03-11
ANNUAL REPORT 2021-04-16
ANNUAL REPORT 2020-05-22
ANNUAL REPORT 2019-04-11
ANNUAL REPORT 2018-04-27
ANNUAL REPORT 2017-04-27
ANNUAL REPORT 2016-04-28
ANNUAL REPORT 2015-04-30

Date of last update: 03 Feb 2025

Sources: Florida Department of State