| Entity Name: | EAST COAST NEURO LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 24 Oct 2014 (10 years ago) |
| Document Number: | L14000166344 |
| FEI/EIN Number | 47-2204352 |
| Address: | 9889 Gate Pkwy N., JACKSONVILLE, FL, 32246, US |
| Mail Address: | PO BOX 550732, JACKSONVILLE, FL, 32255, US |
| ZIP code: | 32246 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124424643 | 2014-11-11 | 2024-04-30 | PO BOX 936957, ATLANTA, GA, 311936957, US | 10550 DEERWOOD PARK BLVD STE 609A, JACKSONVILLE, FL, 322562811, US | |||||||||||||||||||||||||||
|
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| Phone | +1 941-209-5410 |
| Fax | 9412095652 |
| Phone | +1 904-513-3954 |
| Fax | 9042120223 |
Authorized person
| Name | DR. VANESSA JACLYN WILCZAK |
| Role | AUTHORIZED OFFICIAL |
| Phone | 9045133954 |
Taxonomy
| Taxonomy Code | 111NN0400X - Neurology Chiropractor |
| Is Primary | No |
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| Is Primary | Yes |
| Taxonomy Code | 2084N0400X - Neurology Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| wilczak vanessa | Agent | 9889 Gate Pkwy N., JACKSONVILLE, FL, 32246 |
| Name | Role | Address |
|---|---|---|
| WILCZAK VANESSA J | Manager | 9889 Gate Pkwy N., JACKSONVILLE, FL, 32246 |
| Whalen Adam | Manager | 9889 Gate Pkwy N., JACKSONVILLE, FL, 32246 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000052228 | NEUROCARE | EXPIRED | 2019-04-29 | 2024-12-31 | No data | PO BOX 550732, JACKSONVILLE, FL, 32255 |
| G18000076836 | EAST COAST INJURY CLINIC | ACTIVE | 2018-07-15 | 2028-12-31 | No data | 7835 CHASE MEADOWS DR E, JACKSONVILLE, FL, 32256 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-28 | 9889 Gate Pkwy N., Suite 305, JACKSONVILLE, FL 32246 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-28 | 9889 Gate Pkwy N., Suite 305, JACKSONVILLE, FL 32246 | No data |
| REGISTERED AGENT NAME CHANGED | 2017-04-30 | wilczak, vanessa | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-25 |
| ANNUAL REPORT | 2023-04-24 |
| ANNUAL REPORT | 2022-04-06 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-06-29 |
| ANNUAL REPORT | 2019-04-28 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-04-30 |
| ANNUAL REPORT | 2016-03-10 |
| ANNUAL REPORT | 2015-01-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
