| Entity Name: | PIONEER NEUROHEALTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 30 Jun 2020 (5 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 17 Nov 2023 (a year ago) |
| Document Number: | L20000184022 |
| FEI/EIN Number | 85-1675155 |
| Address: | 13067 N TELECOM PARKWAY, TEMPLE TERRACE, FL 33637 |
| Mail Address: | 13067 N TELECOM PARKWAY, TEMPLE TERRACE, FL 33637 |
| ZIP code: | 33637 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437918372 | 2024-03-14 | 2024-03-14 | 13067 N TELECOM PKWY, TEMPLE TERRACE, FL, 336370926, US | 5812 OLD PASCO RD, WESLEY CHAPEL, FL, 335444011, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 813-779-6303 |
| Phone | +1 813-333-9108 |
| Fax | 8133339395 |
Authorized person
| Name | DR. SYED IRFAN ALI |
| Role | OWNER |
| Phone | 8137796303 |
Taxonomy
| Taxonomy Code | 2084E0001X - Epilepsy Physician |
| Is Primary | No |
| Taxonomy Code | 2084N0008X - Neuromuscular Medicine (Psychiatry & Neurology) Physician |
| Is Primary | No |
| Taxonomy Code | 2084N0400X - Neurology Physician |
| Is Primary | Yes |
| Taxonomy Code | 2084N0600X - Clinical Neurophysiology Physician |
| Is Primary | No |
| Taxonomy Code | 2084V0102X - Vascular Neurology Physician |
| Is Primary | No |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PIONEER NEUROHEALTH, LLC 401(K) PLAN | 2023 | 851675155 | 2024-10-03 | PIONEER NEUROHEALTH, LLC | 10 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-10-03 |
| Name of individual signing | SYED ALI |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2024-10-03 |
| Name of individual signing | SYED ALI |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8137796303 |
| Plan sponsor’s address | 13067 N TELECOM PARKWAY, TAMPA, FL, 33637 |
Signature of
| Role | Plan administrator |
| Date | 2023-10-11 |
| Name of individual signing | SYED ALI |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2023-10-11 |
| Name of individual signing | SYED ALI |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8137796303 |
| Plan sponsor’s address | 13067 N TELECOM PARKWAY, TAMPA, FL, 33637 |
Signature of
| Role | Plan administrator |
| Date | 2022-10-11 |
| Name of individual signing | JAMES GRIFFITH |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2022-10-11 |
| Name of individual signing | JAMES GRIFFITH |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| ALI, SYED | Agent | 13067 N TELECOM PARKWAY, TEMPLE TERRACE, FL 33637 |
| Name | Role | Address |
|---|---|---|
| SYED ALI LLC | Member | 17324 BALLMONT PARK DRIVE, ODESSA, FL 33556 |
| CASEY RD MANAGEMENT LLC | Member | No data |
| DECKER, DAVID | Member | 12640 CASEY ROAD, TAMPA, FL 33618 |
| ALI, SYED | Member | 17324 BALLMONT PARK, ODESSA, FL 33556 |
| PANTOL, GABRIEL, Dr. | Member | 2611 CLARK ROAD, TAMPA, FL 33618 |
| GABRIEL PANTOL MANAGEMENT LLC | Member | No data |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000052254 | THE BRAIN AND STROKE CENTER | ACTIVE | 2023-04-25 | 2028-12-31 | No data | 13067 N TELECOM PARKWAY, TAMPA, FL, 33637 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-29 | 13067 N TELECOM PARKWAY, TEMPLE TERRACE, FL 33637 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-29 | 13067 N TELECOM PARKWAY, TEMPLE TERRACE, FL 33637 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-29 | 13067 N TELECOM PARKWAY, TEMPLE TERRACE, FL 33637 | No data |
| LC AMENDMENT | 2023-11-17 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-29 |
| LC Amendment | 2023-11-17 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-05-01 |
| Florida Limited Liability | 2020-06-30 |
Date of last update: 15 Jan 2025
Sources: Florida Department of State
