| Entity Name: | RAYYAN NEUROLOGICAL ASSOCIATION LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 09 Jan 2019 (6 years ago) |
| Document Number: | L19000011597 |
| FEI/EIN Number | 83-3139409 |
| Address: | 10022 CRYSTALLINE CT, ORLANDO, FL 32836 |
| Mail Address: | 10022 CRYSTALLINE CT, ORLANDO, FL 32836 |
| ZIP code: | 32836 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164995528 | 2019-01-09 | 2019-01-14 | 10022 CRYSTALLINE CT, ORLANDO, FL, 328366024, US | 10022 CRYSTALLINE CT, ORLANDO, FL, 328366024, US | |||||||||||||||||||
|
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| Phone | +1 646-431-6976 |
Authorized person
| Name | DR. SHAFIUDDIN AHMED |
| Role | NEUROLOGIST |
| Phone | 6464316976 |
Taxonomy
| Taxonomy Code | 2084N0400X - Neurology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 009273800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| AHMED, SHAFIUDDIN | Agent | 10022 CRYSTALLINE CT, ORLANDO, FL 32836 |
| Name | Role | Address |
|---|---|---|
| AHMED, SHAFIUDDIN | Manager | 10022 CRYSTALLINE CT, ORLANDO, FL 32836 |
| Name | Role | Address |
|---|---|---|
| AHMED, SHAFIUDDIN | Director | 10022 CRYSTALLINE CT, ORLANDO, FL 32836 |
| Name | Role | Address |
|---|---|---|
| Ahmed, Daanyal Sami | Assistant | 10022 CRYSTALLINE CT, ORLANDO, FL 32836 |
| Langlais, Amanda Mymay | Assistant | 10022 CRYSTALLINE CT, Orlando, FL 32836 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-05 |
| ANNUAL REPORT | 2024-01-30 |
| ANNUAL REPORT | 2023-01-28 |
| ANNUAL REPORT | 2022-01-27 |
| AMENDED ANNUAL REPORT | 2021-04-21 |
| ANNUAL REPORT | 2021-01-09 |
| ANNUAL REPORT | 2020-01-07 |
| Florida Limited Liability | 2019-01-09 |
Date of last update: 16 Feb 2025
Sources: Florida Department of State
