| Entity Name: | FOCAL NEUROSCIENCE OF TAMPA BAY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 06 Feb 2024 (a year ago) |
| Document Number: | L24000067205 |
| Address: | 12 SE 8TH STREET, FORT LAUDERDALE, FL 33316 |
| Mail Address: | 6911 PISTOL RANGE RD, UNIT 117, TAMPA, FL 33635 |
| ZIP code: | 33316 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679337422 | 2024-02-12 | 2024-02-12 | 6911 PISTOL RANGE RD STE 117, TAMPA, FL, 336356340, US | 6911 PISTOL RANGE RD STE 117, TAMPA, FL, 336356340, US | |||||||||||||
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| Phone | +1 813-325-7479 |
Authorized person
| Name | LORENA BROWNELL |
| Role | FOUNDER |
| Phone | 8133257479 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| FOCAL NEUROSCIENCE SOLUTIONS LLC | Agent |
| Name | Role | Address |
|---|---|---|
| BROWNELL, LORENA | Manager | 6911 PISTOL RANGE ROAD STE 117, TAMPA, FL 33635 |
| SHOOK, ANDREW | Manager | 12 SE 8TH STREET, FORT LAUDERDALE, FL 33316 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-02-06 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
