| Entity Name: | ARUBAH NEUROSCIENCE INSTITUTE PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 05 Oct 2015 (9 years ago) |
| Date of dissolution: | 02 Feb 2021 (4 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 02 Feb 2021 (4 years ago) |
| Document Number: | L15000169072 |
| FEI/EIN Number | 47-5228964 |
| Address: | 9140 Spring Time Dr., VERO BEACH, FL, 32963, US |
| Mail Address: | 9140 Spring Time Dr., VERO BEACH, FL, 32963, US |
| ZIP code: | 32963 |
| County: | Indian River |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487024162 | 2015-10-07 | 2017-05-03 | 214 GREEN BAY RD, THIENSVILLE, WI, 530921616, US | 1701 S 23RD ST, FORT PIERCE, FL, 349504803, US | |||||||||||||||||||||||
|
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| Phone | +1 844-458-4201 |
| Fax | 4142479004 |
| Fax | 7224488612 |
Authorized person
| Name | AKRAM SHHADEH |
| Role | PRESIDENT/MEMBER |
| Phone | 9739015457 |
Taxonomy
| Taxonomy Code | 207T00000X - Neurological Surgery Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 018549200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SHHADEH AKRAM | Agent | 9140 Spring Time Dr., Vero Beach, FL, 32963 |
| Name | Role | Address |
|---|---|---|
| SHHADEH AKRAM | Authorized Member | 9140 Spring Time Dr., VERO BEACH, FL, 32963 |
| GHEITH AYMAN A | Authorized Member | 9140 Spring Time Dr., VERO BEACH, FL, 32963 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2021-02-02 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-01-17 | 9140 Spring Time Dr., VERO BEACH, FL 32963 | No data |
| CHANGE OF MAILING ADDRESS | 2020-01-17 | 9140 Spring Time Dr., VERO BEACH, FL 32963 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-01-17 | 9140 Spring Time Dr., Vero Beach, FL 32963 | No data |
| REGISTERED AGENT NAME CHANGED | 2016-10-18 | SHHADEH, AKRAM | No data |
| REINSTATEMENT | 2016-10-18 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-02-02 |
| VOLUNTARY DISSOLUTION | 2021-02-02 |
| AMENDED ANNUAL REPORT | 2020-08-03 |
| ANNUAL REPORT | 2020-01-17 |
| ANNUAL REPORT | 2019-04-01 |
| ANNUAL REPORT | 2018-02-14 |
| AMENDED ANNUAL REPORT | 2017-03-07 |
| ANNUAL REPORT | 2017-01-13 |
| REINSTATEMENT | 2016-10-18 |
| Florida Limited Liability | 2015-10-05 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
