Entity Name: | IDEAL NEUROLOGY CLINIC, PLLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 17 Dec 2018 (6 years ago) |
Document Number: | L18000288753 |
FEI/EIN Number | 83-2892668 |
Address: | 7000 W. Palmetto Park Rd., BOCA RATON, FL, 33433, US |
Mail Address: | PO BOX 880761, BOCA RATON, FL, 33488, US |
ZIP code: | 33433 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1467926006 | 2019-01-16 | 2023-12-20 | PO BOX 880761, BOCA RATON, FL, 334880761, US | 7000 W PALMETTO PARK RD STE 406, BOCA RATON, FL, 334333425, US | |||||||||||||||
|
Phone | +1 561-961-8575 |
Fax | 5618981710 |
Authorized person
Name | RENATA CHALFIN |
Role | PHYSICIAN OWNER/CEO/MEDICAL DIRECTO |
Phone | 5619618575 |
Taxonomy
Taxonomy Code | 2084N0400X - Neurology Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
CHALFIN RENATA | Agent | 7000 W. Palmetto Park Rd., BOCA RATON, FL, 33433 |
Name | Role | Address |
---|---|---|
CHALFIN RENATA | Manager | PO BOX 880761, BOCA RATON, FL, 33488 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REGISTERED AGENT ADDRESS CHANGED | 2024-03-06 | 7000 W. Palmetto Park Rd., Suite 406, BOCA RATON, FL 33433 | No data |
CHANGE OF PRINCIPAL ADDRESS | 2024-01-17 | 7000 W. Palmetto Park Rd., Suite 406, BOCA RATON, FL 33433 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-03-06 |
ANNUAL REPORT | 2023-02-22 |
ANNUAL REPORT | 2022-02-15 |
ANNUAL REPORT | 2021-04-03 |
ANNUAL REPORT | 2020-01-18 |
Florida Limited Liability | 2018-12-17 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State