| Entity Name: | THE NEUROLOGIC WELLNESS INSTITUTE, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 01 Nov 2021 (3 years ago) |
| Document Number: | L21000473751 |
| FEI/EIN Number | 87-3464675 |
| Mail Address: | 7623 NW 122ND DRIVE, PARKLAND, FL 33076 |
| Address: | 7700 W Camino Real, Suite 320, Boca Raton, FL 33433 |
| ZIP code: | 33433 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154073302 | 2022-01-19 | 2022-01-19 | 7623 NW 122ND DR, PARKLAND, FL, 330764542, US | 7700 CAMINO REAL STE 320, BOCA RATON, FL, 334335576, US | |||||||||||||
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| Phone | +1 908-418-0721 |
Authorized person
| Name | DR. KELSEY BRENNER |
| Role | OWNER |
| Phone | 9084180721 |
Taxonomy
| Taxonomy Code | 111NN0400X - Neurology Chiropractor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TRASTER, DAVID | Agent | 7623 NW 122ND DR., PARKLAND, FL 33076 |
| Name | Role | Address |
|---|---|---|
| TRASTER, DAVID | Authorized Member | 7623 NW 122 DR., PARKLAND, FL 33076 |
| MICHALOPOULOS, GEORGE | Authorized Member | 1330 MEDINAH DR, ITASCA, IL 60143 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-02-10 | 7700 W Camino Real, Suite 320, Boca Raton, FL 33433 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-10 |
| ANNUAL REPORT | 2024-03-07 |
| ANNUAL REPORT | 2023-04-27 |
| Florida Limited Liability | 2021-11-01 |
Date of last update: 12 Feb 2025
Sources: Florida Department of State
