| Entity Name: | NEO MATRIX, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 10 Aug 2015 (9 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | L15000136601 |
| FEI/EIN Number | 47-4780988 |
| Address: | 290 CLYDE MORRIS BLVD,, Ormond Beach, FL, 32174, US |
| Mail Address: | 290 CLYDE MORRIS BLVD,, Ormond Beach, FL, 32174, US |
| ZIP code: | 32174 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396386322 | 2019-10-01 | 2019-10-01 | 290 CLYDE MORRIS BLVD STE D1, ORMOND BEACH, FL, 321748204, US | 290 CLYDE MORRIS BLVD STE D1, ORMOND BEACH, FL, 321748204, US | |||||||||||||||||||||
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| Phone | +1 855-628-7495 |
| Fax | 4075023608 |
Authorized person
| Name | MARIA DAILY |
| Role | OFFICE MANAGER |
| Phone | 8556287495 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 19017 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Nicholas Sasso | Agent | 4035 Flowering Stream Way, Oviedo, FL, 32766 |
| Name | Role | Address |
|---|---|---|
| BASS DONALD | Manager | 6 Stagden Look, Ormond Beach, FL, 32174 |
| VAN THIELEN MIKE | Manager | 40 Raintree Lane, Ormond Beach, FL, 32174 |
| SASSO VENTURES, LLC | Manager | No data |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000052793 | ALPHA MATRIX | EXPIRED | 2016-05-26 | 2021-12-31 | No data | 6070 SABAL CREEK BLVD, PORT ORANGE, FL, 32128 |
| G16000045377 | NEO MATRIX MEDICAL | EXPIRED | 2016-05-04 | 2021-12-31 | No data | 6070 SABAL CT, PORT ORANGE, FL, 32128 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| LC AMENDMENT | 2018-06-19 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-05-24 | 290 CLYDE MORRIS BLVD,, UNIT D-1, Ormond Beach, FL 32174 | No data |
| CHANGE OF MAILING ADDRESS | 2018-05-24 | 290 CLYDE MORRIS BLVD,, UNIT D-1, Ormond Beach, FL 32174 | No data |
| LC AMENDMENT | 2018-04-09 | No data | No data |
| LC DISSOCIATION MEM | 2018-04-09 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-01-23 | Nicholas, Sasso | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-01-23 | 4035 Flowering Stream Way, Oviedo, FL 32766 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-03-15 |
| LC Amendment | 2018-06-19 |
| CORLCDSMEM | 2018-04-09 |
| LC Amendment | 2018-04-09 |
| ANNUAL REPORT | 2018-03-03 |
| ANNUAL REPORT | 2017-01-23 |
| ANNUAL REPORT | 2016-04-16 |
| Florida Limited Liability | 2015-08-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
