| Entity Name: | PRIME NEUROLOGY CENTER OF EXCELLENCE PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 01 Mar 2022 (3 years ago) |
| Document Number: | L22000105433 |
| FEI/EIN Number | 88-0770500 |
| Address: | 3016 BUTTERNUT LANE, RIVERIA BEACH, FL, 33410, US |
| Mail Address: | 3016 BUTTERNUT LANE, RIVERIA BEACH, FL, 33410, US |
| ZIP code: | 33410 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578219507 | 2022-02-28 | 2022-06-07 | 324 S BREVARD AVE, ARCADIA, FL, 342664309, US | 3345 BURNS RD STE 306, PALM BEACH GARDENS, FL, 334104321, US | |||||||||||||||
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| Phone | +1 863-558-1054 |
| Phone | +1 832-971-5261 |
Authorized person
| Name | DR. MITESH PATEL |
| Role | CEO |
| Phone | 8635581054 |
Taxonomy
| Taxonomy Code | 2084N0400X - Neurology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PATEL MITESH | Agent | 3016 Butternut Lane, Riviera Beach, FL, 33410 |
| Name | Role | Address |
|---|---|---|
| Patel Mitesh | Manager | 3016 Butternut Lane, Riviera Beach, FL, 33410 |
| Name | Role | Address |
|---|---|---|
| Patel Mitesh | Authorized Representative | 3016 Butternut Lane, Riviera Beach, FL, 33410 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-18 | 3016 Butternut Lane, Riviera Beach, FL 33410 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-10-18 | 3016 BUTTERNUT LANE, RIVERIA BEACH, FL 33410 | No data |
| CHANGE OF MAILING ADDRESS | 2022-10-18 | 3016 BUTTERNUT LANE, RIVERIA BEACH, FL 33410 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-18 |
| ANNUAL REPORT | 2023-01-29 |
| Florida Limited Liability | 2022-03-01 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
