| Entity Name: | NEUROBEHAVIORAL CLINIC LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 13 Jul 2020 (5 years ago) |
| Date of dissolution: | 30 Oct 2020 (4 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 30 Oct 2020 (4 years ago) |
| Document Number: | L20000200572 |
| Address: | 3808 GUNN HIGHWAY, TAMPA, FL 33618 UN |
| Mail Address: | 3808 GUNN HIGHWAY, TAMPA, FL 33618 UN |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932713757 | 2020-08-31 | 2020-08-31 | 3808 GUNN HWY, TAMPA, FL, 336188757, US | 3808 GUNN HWY, TAMPA, FL, 336188757, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 813-501-3555 |
Authorized person
| Name | CHRISTINA SANCHEZ MILLER |
| Role | CEO |
| Phone | 8135013555 |
Taxonomy
| Taxonomy Code | 2084A0401X - Addiction Medicine (Psychiatry & Neurology) Physician |
| Is Primary | No |
| Taxonomy Code | 2084B0040X - Behavioral Neurology & Neuropsychiatry Physician |
| Is Primary | No |
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | Yes |
| Taxonomy Code | 2084P0802X - Addiction Psychiatry Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| SANCHEZ MILLER, CHRISTINA | Agent | 3808 GUNN HIGHWAY, TAMPA, FL 33618 |
| Name | Role | Address |
|---|---|---|
| SANCHEZ MILLER, CHRISTINA | Manager | 3808 GUNN HIGHWAY, TAMPA, FL 33618 |
| ZIMMER, EVAN, DR. | Manager | 3808 GUNN HIGHWAY, TAMPA, FL 33618 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2020-10-30 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2020-10-30 |
| Florida Limited Liability | 2020-07-13 |
Date of last update: 15 Jan 2025
Sources: Florida Department of State
