| Entity Name: | NEUROBEHAVIORAL MEDICINE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 15 Aug 2016 (8 years ago) |
| Document Number: | L16000152156 |
| FEI/EIN Number | 81-3584420 |
| Address: | 613 W Dr MLK Blvd, TAMPA, FL, 33603, US |
| Mail Address: | PO Box 271894, TAMPA, FL, 33688, US |
| ZIP code: | 33603 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780130773 | 2016-08-30 | 2024-02-19 | PO BOX 271894, TAMPA, FL, 336881894, US | 613 W DR MARTIN LUTHER KING JR BLVD STE 104, TAMPA, FL, 336033400, US | |||||||||||||||||
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| Phone | +1 215-863-1653 |
| Phone | +1 813-587-9911 |
| Fax | 8339050111 |
Authorized person
| Name | PRAGNESH P PATEL |
| Role | OWNER |
| Phone | 2158631653 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BARTON DENISE | Agent | 225 E. ROBINSON STREET, ORLANDO, FL, 32801 |
| Name | Role | Address |
|---|---|---|
| PATEL PRAGNESH P | Managing Member | PO Box 271894, TAMPA, FL, 33688 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-01-22 | 613 W Dr MLK Blvd, # 104, TAMPA, FL 33603 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-09-06 | 613 W Dr MLK Blvd, # 104, TAMPA, FL 33603 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-28 |
| ANNUAL REPORT | 2023-01-22 |
| ANNUAL REPORT | 2022-04-21 |
| ANNUAL REPORT | 2021-04-12 |
| ANNUAL REPORT | 2020-02-25 |
| ANNUAL REPORT | 2019-02-13 |
| ANNUAL REPORT | 2018-03-26 |
| ANNUAL REPORT | 2017-02-11 |
| Florida Limited Liability | 2016-08-15 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
