| Entity Name: | NEUROCITY TBI, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 15 Mar 2024 (a year ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 13 Nov 2024 (3 months ago) |
| Document Number: | L24000130633 |
| Address: | 10650 W STATE RD 84, SUITE 208, DAVIE, FL, 33324, US |
| Mail Address: | 10650 W STATE RD 84, SUITE 208, DAVIE, FL, 33324, US |
| ZIP code: | 33324 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528818838 | 2024-03-27 | 2024-03-27 | 817 S UNIVERSITY DR STE 119, PLANTATION, FL, 333243318, US | 10650 W STATE ROAD 84 STE 208, DAVIE, FL, 333244235, US | |||||||||||||||||||||||||||||||
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| Phone | +1 954-424-9724 |
| Phone | +1 954-279-2170 |
Authorized person
| Name | MARISA MERLO |
| Role | ACCOUNTS RECEIVABLE |
| Phone | 9542792170 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | No |
| Taxonomy Code | 111NS0005X - Sports Physician Chiropractor |
| Is Primary | No |
| Taxonomy Code | 2084N0400X - Neurology Physician |
| Is Primary | Yes |
| Taxonomy Code | 2251N0400X - Neurology Physical Therapist |
| Is Primary | No |
| Taxonomy Code | 225XN1300X - Neurorehabilitation Occupational Therapist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| TRIANA SERGIO | Agent | 11500 NW 6TH PLACE, PLANTATION, FL, 33325 |
| Name | Role | Address |
|---|---|---|
| TRIANA SERGIO | Manager | 11500 NW 6TH PLACE, PLANTATION, FL, 33325 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2024-11-13 | No data | No data |
| Name | Date |
|---|---|
| LC Amendment | 2024-11-13 |
| Florida Limited Liability | 2024-03-15 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
