| Entity Name: | BRAINSPORT LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 18 Nov 2019 (5 years ago) |
| Document Number: | L19000286547 |
| FEI/EIN Number | 84-3709740 |
| Address: | 2525 BURNS ROAD, PALM BEACH GARDENS, FL 33410 |
| Mail Address: | 2525 BURNS ROAD, PALM BEACH GARDENS, FL 33410 |
| ZIP code: | 33410 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154960573 | 2020-01-02 | 2020-01-02 | 2525 BURNS RD, PALM BEACH GARDENS, FL, 334105204, US | 2525 BURNS RD, PALM BEACH GARDENS, FL, 334105204, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 772-337-7272 |
| Fax | 7723377734 |
Authorized person
| Name | FRANCIS X CONIDI |
| Role | CEO |
| Phone | 7723377272 |
Taxonomy
| Taxonomy Code | 2084S0010X - Sports Medicine (Psychiatry & Neurology) Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CONIDI, FRANCIS | Agent | 2525 BURNS ROAD, PALM BEACH GARDENS, FL 33410 |
| Name | Role | Address |
|---|---|---|
| CONIDI, FRANCIS | Manager | 2525 BURNS ROAD, PALM BEACH GARDENS, FL 33410 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000172835 | TRAUMATIC BRAIN INJURY SPECIALISTS | ACTIVE | 2021-12-29 | 2026-12-31 | No data | 2525 BURNS ROAD, PALM BEACH GARDENS, FL, 33410 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2021-04-19 | CONIDI, FRANCIS | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-28 |
| ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-19 |
| ANNUAL REPORT | 2020-06-26 |
| Florida Limited Liability | 2019-11-18 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
