| Entity Name: | MEDLIN NEUROPSYCHOLOGY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 23 Nov 2020 (4 years ago) |
| Document Number: | L20000369032 |
| FEI/EIN Number | 86-1767402 |
| Address: | 930 CENTRAL AVENUE, APT 616, SAINT PETERSBURG, FL, 33705, US |
| Mail Address: | 930 CENTRAL AVENUE, APT 616, SAINT PETERSBURG, FL, 33705, US |
| ZIP code: | 33705 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417729062 | 2023-10-26 | 2024-07-03 | 930 CENTRAL AVE UNIT 616, ST PETERSBURG, FL, 337051678, US | 15 8TH ST N UNIT 413, ST PETERSBURG, FL, 337013614, US | |||||||||||||||||
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| Phone | +1 803-924-3383 |
| Phone | +1 727-761-2869 |
| Fax | 7276310072 |
Authorized person
| Name | DR. LAUREN COLLINS MEDLIN |
| Role | PEDIATRIC NEUROPSYCHOLOGIST |
| Phone | 8039243383 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Ribordy Bernard | Agent | 8780 Seminole Blvd, Seminole, FL. 33772, FL, 33772 |
| Name | Role | Address |
|---|---|---|
| MEDLIN LAUREN CDR. | Authorized Person | 930 CENTRAL AVENUE APT 616, SAINT PETERSBURG, FL, 33705 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2021-02-24 | Ribordy, Bernard | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-02-24 | 8780 Seminole Blvd, Seminole, FL. 33772, FL 33772 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-09 |
| ANNUAL REPORT | 2023-02-03 |
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-02-24 |
| Florida Limited Liability | 2020-11-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
