Search icon

CRESCENT COAST NEUROLOGY LLC - Florida Company Profile

Company claim

Is this your business?

Get access!

Company Details

Entity Name: CRESCENT COAST NEUROLOGY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 20 Jun 2022 (3 years ago)
Document Number: L22000278526
FEI/EIN Number 88-2921975
Address: 1910 ROCKLEDGE BLVD, SUITE 102, ROCKLEDGE, FL, 32955
Mail Address: 1910 ROCKLEDGE BLVD, SUITE 102, ROCKLEDGE, FL, 32955, US
ZIP code: 32955
City: Rockledge
County: Brevard
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
NIAZI AHSAN Z Authorized Person 1910 ROCKLEDGE BLVD, ROCKLEDGE, FL, 32955
NIAZI AHSAN ZDR Agent 1910 ROCKLEDGE BLVD, ROCKLEDGE, FL, 32955

National Provider Identifier

NPI Number:
1902522782
Certification Date:
2022-10-13

Authorized Person:

Name:
AHSAN ZAKI NIAZI
Role:
SOLE MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
2084N0400X - Neurology Physician
Is Primary:
Yes

Contacts:

Fax:
3216363985

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-09-03 1910 ROCKLEDGE BLVD, SUITE 102, ROCKLEDGE, FL 32955 -
REGISTERED AGENT ADDRESS CHANGED 2024-09-03 1910 ROCKLEDGE BLVD, SUITE 102, ROCKLEDGE, FL 32955 -

Documents

Name Date
ANNUAL REPORT 2024-09-03
ANNUAL REPORT 2023-04-16
Florida Limited Liability 2022-06-20

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 02 Aug 2025

Sources: Florida Department of State