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TRAUMATIC BRAIN DIAGNOSTIC LLC - Florida Company Profile

Company Details

Entity Name: TRAUMATIC BRAIN DIAGNOSTIC LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

TRAUMATIC BRAIN DIAGNOSTIC LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 25 Oct 2019 (5 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 15 Dec 2020 (4 years ago)
Document Number: L19000268200
FEI/EIN Number 84-3474201

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 1324 Seven Springs Blvd, #159, Trinity, FL, 34655, US
Mail Address: 1324 SEVEN SPRINGS BLVD #159, TRINITY, FL, 34655, US
ZIP code: 34655
County: Pasco
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1003431396 2020-06-11 2020-06-11 1814 WELLNESS LN, TRINITY, FL, 346555357, US 1814 WELLNESS LN, TRINITY, FL, 346555357, US

Contacts

Phone +1 813-450-8989

Authorized person

Name MS. CAROLINE ADAMS
Role ACCOUNT ADMINISTRATOR
Phone 7272031023

Taxonomy

Taxonomy Code 2084P0301X - Brain Injury Medicine (Psychiatry & Neurology) Physician
Is Primary Yes

Key Officers & Management

Name Role Address
Leonard Edward Chief Operating Officer 1501 Doyle Carlton Dr Unit 410, Tampa, FL, 33602
BLACKBURN CHARLES Agent 1324 Seven Springs Blvd, 159, Trinity, FL, 34655
BLACKBURN CHARLES Manager 1324 Seven Springs Blvd, 159, Trinity, FL, 34655

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000064025 TRAUMATIC BRAIN DIAGNOSTICS LLC ACTIVE 2020-06-08 2025-12-31 - 1814 WELLNESS LANE, TRINITY, FL, 34655

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-01-19 1324 Seven Springs Blvd, #159, Trinity, FL 34655 -
REGISTERED AGENT ADDRESS CHANGED 2022-04-14 1324 Seven Springs Blvd, 159, Trinity, FL 34655 -
LC DISSOCIATION MEM 2020-12-15 - -
LC STMNT OF RA/RO CHG 2020-12-15 - -
CHANGE OF MAILING ADDRESS 2020-12-10 1324 Seven Springs Blvd, #159, Trinity, FL 34655 -

Documents

Name Date
ANNUAL REPORT 2025-01-28
ANNUAL REPORT 2024-01-19
ANNUAL REPORT 2023-02-21
ANNUAL REPORT 2022-04-14
ANNUAL REPORT 2021-03-10
CORLCDSMEM 2020-12-15
CORLCRACHG 2020-12-15
ANNUAL REPORT 2020-06-16
Florida Limited Liability 2019-10-25

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7518437110 2020-04-14 0455 PPP 1324 Seven Springs Boulevard #159, NEW PORT RICHEY, FL, 34655
Loan Status Date 2021-03-11
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 11725
Loan Approval Amount (current) 11725
Undisbursed Amount 0
Franchise Name -
Lender Location ID 45120
Servicing Lender Name Valley National Bank
Servicing Lender Address 615 Main Ave, PASSAIC, NJ, 07055-5066
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description New Business or 2 years or less
Project Address NEW PORT RICHEY, PASCO, FL, 34655-0001
Project Congressional District FL-12
Number of Employees 2
NAICS code 621493
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 45120
Originating Lender Name Valley National Bank
Originating Lender Address PASSAIC, NJ
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 11818.47
Forgiveness Paid Date 2021-02-04

Date of last update: 01 Apr 2025

Sources: Florida Department of State