| Entity Name: | NEUROSPORT, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 08 Feb 2019 (6 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | L19000033796 |
| Address: | 201 NORTH FRANKLIN ST STE 1910, TAMPA, FL 33602 |
| Mail Address: | 201 NORTH FRANKLIN ST STE 1910, TAMPA, FL 33602 |
| ZIP code: | 33602 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992365472 | 2019-06-18 | 2019-06-18 | 378 HILLSBORO TECHNOLOGY DR, DEERFIELD BEACH, FL, 334411836, US | 378 HILLSBORO TECHNOLOGY DR, DEERFIELD BEACH, FL, 334411836, US | |||||||||||||||
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| Phone | +1 954-949-2345 |
| Fax | 9549492346 |
Authorized person
| Name | DR. DANIEL KANTOR |
| Role | CHIEF MEDICAL OFFICER |
| Phone | 9046877879 |
Taxonomy
| Taxonomy Code | 2084N0400X - Neurology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RAYMOND, J.PAUL | Agent | 625 CT ST STE 200, CLEARWATER, FL 33756 |
| Name | Role | Address |
|---|---|---|
| PICCIANO, JOHN R | Manager | 201 NORTH FRANKLIN ST STE 1910, TAMPA, FL 33602 |
| O'SHEA, JAMES E | Manager | 201 NORTH FRANKLIN ST STE 1910, TAMPA, FL 33602 |
| WILLIS, FRED | Manager | 201 NORTH FRANKLIN ST STE 1910, TAMPA, FL 33602 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2019-02-08 |
Date of last update: 17 Jan 2025
Sources: Florida Department of State
