| Entity Name: | NEUROSCIENCE RESEARCH INSTITUTE OF FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 23 Oct 2020 (4 years ago) |
| Document Number: | L20000337810 |
| FEI/EIN Number | 853604774 |
| Address: | 222 PICADILLY STREET, WEST PALM BEACH, FL, 33407, US |
| Mail Address: | 222 PICADILLY STREET, WEST PALM BEACH, FL, 33407, US |
| ZIP code: | 33407 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588258107 | 2021-02-24 | 2022-07-21 | 222 PICADILLY ST, WEST PALM BEACH, FL, 334076017, US | 2010 PONCE DE LEON AVE, WEST PALM BEACH, FL, 334076040, US | |||||||||||||||
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| Phone | +1 561-578-8585 |
| Fax | 5615788601 |
Authorized person
| Name | DR. DANESH A. ALAM |
| Role | CMO MEDICAL DIRECTOR |
| Phone | 6303900042 |
Taxonomy
| Taxonomy Code | 323P00000X - Psychiatric Residential Treatment Facility |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SAUVOLA-LAMAY NICOLE ESQ | Agent | 222 PICADILLY STREET, WEST PALM BEACH, FL, 33407 |
| Name | Role |
|---|---|
| MIDWEST HEALTH FLORIDA, LLC | Authorized Member |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000141111 | NEUROSCIENCE INSTITUTE FOR ADOLESCENTS | ACTIVE | 2021-10-20 | 2026-12-31 | No data | 222 PICADILLY STREET, WEST PALM BEACH, FL, 33407 |
| G21000090469 | NEUROSCIENCE INSTITUTE | ACTIVE | 2021-07-09 | 2026-12-31 | No data | 222 PICADILLY STREET, WEST PALM BEACH, FL, 33407 |
| G20000142294 | NEUROSCIENCE INSTITUTE AT AMBROSIA SOUTH | ACTIVE | 2020-11-04 | 2025-12-31 | No data | 222 PICADILLY STREET, WEST PALM BEACH, FL, 33407 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-30 | 222 PICADILLY STREET, WEST PALM BEACH, FL 33407 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-12-04 | 222 PICADILLY STREET, WEST PALM BEACH, FL 33407 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-02-01 |
| Florida Limited Liability | 2020-10-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
