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NORTH FLORIDA NEURODIAGNOSTICS, LLC

Company Details

Entity Name: NORTH FLORIDA NEURODIAGNOSTICS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 02 Jun 2020 (5 years ago)
Date of dissolution: 23 Sep 2022 (2 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2022 (2 years ago)
Document Number: L20000150365
FEI/EIN Number 85-1354526
Address: 4241 NW American LN, Lake City, FL, 32055, US
Mail Address: 4241 NW American LN, Lake City, FL, 32055, US
ZIP code: 32055
County: Columbia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1851916209 2020-06-11 2020-06-24 426 SW COMMERCE DR STE 101, LAKE CITY, FL, 320251506, US 426 SW COMMERCE DR STE 101, LAKE CITY, FL, 320251506, US

Contacts

Phone +1 386-288-5311
Fax 3862880058

Authorized person

Name ERNESTO ALONSO
Role OWNER
Phone 3862885311

Taxonomy

Taxonomy Code 2084N0400X - Neurology Physician
Is Primary No
Taxonomy Code 2084N0600X - Clinical Neurophysiology Physician
Is Primary Yes
Taxonomy Code 293D00000X - Physiological Laboratory
Is Primary No

Agent

Name Role Address
AGUIAR ALBERTO M Agent 6500 COWPEN ROAD, MIAMI LAKES, FL, 33014

Manager

Name Role Address
ALONSO ERNESTO Manager 4241 NW American LN, Lake City, FL, 32055

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data
CHANGE OF PRINCIPAL ADDRESS 2021-01-25 4241 NW American LN, Lake City, FL 32055 No data
CHANGE OF MAILING ADDRESS 2021-01-25 4241 NW American LN, Lake City, FL 32055 No data

Documents

Name Date
ANNUAL REPORT 2021-01-25
Florida Limited Liability 2020-06-02

Date of last update: 02 Feb 2025

Sources: Florida Department of State