| Entity Name: | MIGRAINE AND HEADACHE CENTER OF FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 02 May 2024 (10 months ago) |
| Document Number: | L24000205350 |
| Address: | 249 Maitland Ave, Suite 3100, Altamonte Springs, FL 32701 |
| Mail Address: | P.O. Box 940065, MAITLAND, FL 32794 |
| ZIP code: | 32701 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184445124 | 2024-10-22 | 2024-10-22 | 249 MAITLAND AVE STE 3100, ALTAMONTE SPRINGS, FL, 327014906, US | 249 MAITLAND AVE STE 3100, ALTAMONTE SPRINGS, FL, 327014906, US | |||||||||||||||
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| Phone | +1 407-960-1067 |
| Fax | 4079601076 |
Authorized person
| Name | BERNADETTE NAZARIO-LOPEZ |
| Role | OWNER |
| Phone | 4079601067 |
Taxonomy
| Taxonomy Code | 2084N0400X - Neurology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| NAZARIO LOPEZ, BERNADETTE | Agent | 302 LAKE AVE, # 101, MAITLAND, FL 32751 |
| Name | Role | Address |
|---|---|---|
| NAZARIO LOPEZ, BERNADETTE | Manager | 302 LAKE AVE #101, MAITLAND, FL 32751 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-10-21 | 249 Maitland Ave, Suite 3100, Altamonte Springs, FL 32701 | No data |
| CHANGE OF MAILING ADDRESS | 2024-10-21 | 249 Maitland Ave, Suite 3100, Altamonte Springs, FL 32701 | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-05-02 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
