| Entity Name: | NEURODIVERSE DIAGNOSTICS, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 20 Sep 2024 (4 months ago) |
| Date of dissolution: | 10 Dec 2024 (2 months ago) |
| Last Event: | CONVERSION |
| Event Date Filed: | 10 Dec 2024 (2 months ago) |
| Document Number: | L24000407468 |
| Address: | 996 ROYAL MARCO WAY, MARCO ISLAND, FL 34145 |
| Mail Address: | 996 ROYAL MARCO WAY, MARCO ISLAND, FL 34145 |
| ZIP code: | 34145 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407678113 | 2024-10-25 | 2024-10-25 | 996 ROYAL MARCO WAY, MARCO ISLAND, FL, 341451829, US | 996 ROYAL MARCO WAY, MARCO ISLAND, FL, 341451829, US | |||||||||||||||
|
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| Phone | +1 469-694-1754 |
| Fax | 8187588015 |
Authorized person
| Name | DOREEN GRANPEESHEH |
| Role | CEO |
| Phone | 4696941754 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| COGENCY GLOBAL INC. | Agent |
| Name | Role | Address |
|---|---|---|
| GRANPEESHEH, DOREEN | Manager | 996 ROYAL MARCO WAY, MARCO ISLAND, FL 34145 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CONVERSION | 2024-12-10 | No data | CONVERSION MEMBER. RESULTING CORPORATION WAS P24000074969. CONVERSION NUMBER 700000261867 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-09-20 |
Date of last update: 06 Jan 2025
Sources: Florida Department of State
