| Entity Name: | FLORIDA SEIZURE DOC PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 14 Jan 2021 (4 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 16 Apr 2024 (10 months ago) |
| Document Number: | L21000017299 |
| FEI/EIN Number | 86-1453683 |
| Address: | 3003 Claire Lane, Bld 100, JACKSONVILLE, FL 32223 |
| Mail Address: | 3003 Claire Lane, Bld 100, JACKSONVILLE, FL 32223 |
| ZIP code: | 32223 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | FLORIDA SEIZURE DOC PLLC, ILLINOIS | LLC_14679324 | ILLINOIS |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184215006 | 2021-02-02 | 2024-07-24 | 3003 CLAIRE LN STE 100, JACKSONVILLE, FL, 322236667, US | 3003 CLAIRE LN STE 100, JACKSONVILLE, FL, 322236667, US | |||||||||||||||||||||||||||||
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| Phone | +1 904-204-6585 |
| Fax | 8503907195 |
| Phone | +1 904-226-7229 |
Authorized person
| Name | DR. OMAR JISHI MOORE |
| Role | MD/OWNER |
| Phone | 8508558764 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 2084N0400X - Neurology Physician |
| Is Primary | No |
| Taxonomy Code | 2084N0600X - Clinical Neurophysiology Physician |
| Is Primary | No |
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MOORE, OMAR | Agent | 3003 Claire Lane, Bld 100, JACKSONVILLE, FL 32223 |
| Name | Role | Address |
|---|---|---|
| MOORE, OMAR | Manager | 3003 Claire Lane, Bld 100, JACKSONVILLE, FL 32223 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000037179 | SYNERGY WOUND CARE | ACTIVE | 2024-03-13 | 2029-12-31 | No data | 3003 CLAIRE LANE, BLD 100, JACKSONVILLE, FL, 32223 |
| G22000002271 | NEURODOC LLC | ACTIVE | 2022-01-06 | 2027-12-31 | No data | 8417 HIGHGATE DR, JACKSONVILLE, FL, 32216 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC NAME CHANGE | 2024-04-16 | FLORIDA SEIZURE DOC PLLC | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-02-07 | 3003 Claire Lane, Bld 100, JACKSONVILLE, FL 32223 | No data |
| CHANGE OF MAILING ADDRESS | 2023-02-07 | 3003 Claire Lane, Bld 100, JACKSONVILLE, FL 32223 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-07 | 3003 Claire Lane, Bld 100, JACKSONVILLE, FL 32223 | No data |
| Name | Date |
|---|---|
| LC Name Change | 2024-04-16 |
| ANNUAL REPORT | 2024-01-24 |
| ANNUAL REPORT | 2023-02-07 |
| ANNUAL REPORT | 2022-01-30 |
| Florida Limited Liability | 2021-01-14 |
Date of last update: 15 Jan 2025
Sources: Florida Department of State
