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MID FLORIDA NEURO DAYTONA, LLC

Company Details

Entity Name: MID FLORIDA NEURO DAYTONA, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 25 Apr 2018 (7 years ago)
Date of dissolution: 22 Sep 2023 (a year ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2023 (a year ago)
Document Number: L18000104319
FEI/EIN Number 830556270
Address: 1020 MASON AVENUE, DAYTONA BEACH, FL, 32117, US
Mail Address: 807 BEVILLE ROAD, SOUTH DAYTONA, FL, 32119, US
ZIP code: 32117
County: Volusia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1912497827 2018-05-16 2018-05-16 807 BEVILLE RD, SOUTH DAYTONA, FL, 321191824, US 1020 MASON AVE, DAYTONA BEACH, FL, 321174612, US

Contacts

Phone +1 386-456-4878
Phone +1 386-317-5149

Authorized person

Name HARRY VASSILAKIS
Role OWNER
Phone 3862128612

Taxonomy

Taxonomy Code 261QM2500X - Medical Specialty Clinic/Center
License Number ME91672
State FL
Is Primary Yes

Agent

Name Role Address
VASSILAKIS HARRY Agent 807 BEVILLE ROAD, SOUTH DAYTONA, FL, 32119

Manager

Name Role Address
VASSILAKIS HARRY Manager 807 BEVILLE, SOUTH DAYTONA, FL, 32119

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data

Documents

Name Date
ANNUAL REPORT 2022-05-13
ANNUAL REPORT 2021-04-26
ANNUAL REPORT 2020-03-17
ANNUAL REPORT 2019-04-20
Florida Limited Liability 2018-04-25

Date of last update: 03 Feb 2025

Sources: Florida Department of State