| Entity Name: | INHOUSE NEURO & HEADACHE CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 25 Jan 2023 (2 years ago) |
| Document Number: | L23000047892 |
| FEI/EIN Number | 92-2168982 |
| Address: | 7157 NARCOOSSEE ROAD #1357, ORLANDO, FL, 32822 |
| Mail Address: | 7157 NARCOOSSEE ROAD #1357, ORLANDO, FL, 32822 |
| ZIP code: | 32822 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255039426 | 2023-02-17 | 2023-02-17 | 7157 NARCOOSSEE RD # 1357, ORLANDO, FL, 328225533, US | 33048 US HWY 27 N, HAINES CITY, FL, 338447621, US | |||||||||||
|
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| Name | CARLYN JOEL RODRIGUEZ NAZARIO |
| Role | MD |
| Phone | 8139742201 |
Taxonomy
| Taxonomy Code | 2084N0400X - Neurology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ NAZARIO CARLYN | Agent | 7157 NARCOOSSEE ROAD #1357, ORLANDO, FL, 32822 |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ NAZARIO CARLYN | Manager | 7157 NARCOOSSEE ROAD #1357, ORLANDO, FL, 32822 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-02 |
| Florida Limited Liability | 2023-01-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
