| Entity Name: | NEUROLOGIC CONSULTANTS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 14 Jan 2022 (3 years ago) |
| Document Number: | L22000030922 |
| FEI/EIN Number | 874755989 |
| Address: | 325 Clyde Morris, ORMOND BEACH, FL, 32174, US |
| Mail Address: | 325 Clyde Morris, ORMOND BEACH, FL, 32174, US |
| ZIP code: | 32174 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578218095 | 2022-02-14 | 2023-11-14 | 325 CLYDE MORRIS BLVD STE 390, ORMOND BEACH, FL, 321748179, US | 325 CLYDE MORRIS BLVD STE 390, ORMOND BEACH, FL, 321748179, US | |||||||||||||||||||||||
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| Phone | +1 386-676-6335 |
| Fax | 3862567629 |
Authorized person
| Name | MANDEEP GAREWAL |
| Role | MANAGER |
| Phone | 3866766335 |
Taxonomy
| Taxonomy Code | 2084N0400X - Neurology Physician |
| Is Primary | No |
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | Yes |
| Taxonomy Code | 2084S0012X - Sleep Medicine (Psychiatry & Neurology) Physician |
| Is Primary | No |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NEUROLOGIC CONSULTANTS LLC | 2023 | 874755989 | 2024-07-18 | NEUROLOGIC CONSULTANTS LLC | 10 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-07-18 |
| Name of individual signing | SHIRLEY HORNER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| LANEY SONYA | Agent | 5131 S RIDGEWOOD AVE, PORT ORANGE, FL, 32127 |
| Name | Role | Address |
|---|---|---|
| GAREWAL MANDEEP | Manager | 1228 CASTLEHAWK LANE, ORMOND BEACH, FL, 32174 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-02-07 | 325 Clyde Morris, STE 390, ORMOND BEACH, FL 32174 | No data |
| CHANGE OF MAILING ADDRESS | 2022-02-07 | 325 Clyde Morris, STE 390, ORMOND BEACH, FL 32174 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-04 |
| ANNUAL REPORT | 2023-03-03 |
| Florida Limited Liability | 2022-01-14 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
