| Entity Name: | RESTORATIVE NEUROLOGY AND HEADACHE CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 10 Jun 2022 (3 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L22000266392 |
| FEI/EIN Number | 882816836 |
| Address: | 7730 Boynton Beach Blvd. #4, BOYNTON BEACH, FL, 33437, US |
| Mail Address: | 20350 COZUMEL COURT, BOCA RATON, FL, 33498, US |
| ZIP code: | 33437 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003518838 | 2023-03-17 | 2023-03-27 | 20350 COZUMEL CT, BOCA RATON, FL, 334986712, US | 7730 BOYNTON BEACH BLVD STE 4, BOYNTON BEACH, FL, 334376155, US | |||||||||||||||
|
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| Phone | +1 813-482-5515 |
| Fax | 8135378782 |
Authorized person
| Name | DR. NINA TSAKADZE |
| Role | PROVIDER |
| Phone | 8134825515 |
Taxonomy
| Taxonomy Code | 2084N0400X - Neurology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TSAKADZE NINA | Agent | 20350 COZUMEL COURT, BOCA RATON, FL, 33498 |
| Name | Role | Address |
|---|---|---|
| TSAKADZE NINA | Authorized Member | 20350 COZUMEL COURT, BOCA RATON, FL, 33498 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-12-08 | 7730 Boynton Beach Blvd. #4, BOYNTON BEACH, FL 33437 | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2022-06-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
