| Entity Name: | INDIAN RIVER NEUROSURGICAL SOLUTIONS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 26 Mar 2020 (5 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | L20000090441 |
| Address: | 1300 36TH ST., SUITE A-1, VERO BEACH, FL, 32960 |
| Mail Address: | 9044 SE BRIDGE RD., HOBE SOUND, FL, 33455 |
| ZIP code: | 32960 |
| County: | Indian River |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730718123 | 2020-04-07 | 2020-04-07 | 9044 SE BRIDGE RD, HOBE SOUND, FL, 334555313, US | 1300 36TH ST STE 1A, VERO BEACH, FL, 329604898, US | |||||||||||||||
|
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| Phone | +1 772-546-9591 |
| Fax | 7725469535 |
Authorized person
| Name | JENEANE M. WAKULA |
| Role | OFFICE MANAGER |
| Phone | 7722631642 |
Taxonomy
| Taxonomy Code | 207T00000X - Neurological Surgery Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DORFMAN DAVID J | Agent | 1173 ELEUTHERA DR. NE, PALM BAY, FL, 32905 |
| Name | Role |
|---|---|
| DTFP LLC | Member |
| MAWM GROUP, LLC | Member |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2020-03-26 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
