Entity Name: | QUOTIENT NEURO SERVICES LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 08 Jan 2024 (a year ago) |
Document Number: | L24000017253 |
FEI/EIN Number | 99-1019116 |
Address: | 4516 KATY DR, NEW SMYRNA BEACH, FL 32169 |
Mail Address: | 4516 KATY DR, NEW SMYRNA BEACH, FL 32169 |
ZIP code: | 32169 |
County: | Volusia |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1245085018 | 2024-04-23 | 2024-04-23 | 4516 KATY DR, NEW SMYRNA BEACH, FL, 321694112, US | 1115 S DIXIE FWY, NEW SMYRNA BEACH, FL, 321687473, US | |||||||||||||||
|
Phone | +1 386-679-4458 |
Phone | +1 386-463-5323 |
Authorized person
Name | DR. THOMAS GEORGE MCLOUGHLIN JR. |
Role | OWNER/PHYSICIAN |
Phone | 3864635323 |
Taxonomy
Taxonomy Code | 208000000X - Pediatrics Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
BROCKDORF, SOREN | Agent | 3600 NW 43RD ST, E4, GAINESVILLE, FL 32606 |
Name | Role | Address |
---|---|---|
MCLOUGHLIN, THOMAS G, JR | Manager | 4516 KATY DR, NEW SMYRNA BEACH, FL 32169 |
Name | Date |
---|---|
Florida Limited Liability | 2024-01-08 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State