| Entity Name: | NEUROLOGIQUE FOUNDATION, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Inactive |
| Date Filed: | 26 Jan 2009 (16 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | N09000000821 |
| FEI/EIN Number | 264190339 |
| Address: | 6 FAIRFIELD BLVD, 11, PONTE VEDRA BEACH, FL, 32082-4627, US |
| Mail Address: | 6 FAIRFIELD BLVD, 11, PONTE VEDRA BEACH, FL, 32082-4627, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790926897 | 2009-03-19 | 2022-12-21 | 4851 W HILLSBORO BLVD STE A1, COCONUT CREEK, FL, 330734355, US | 4851 W HILLSBORO BLVD STE A1, COCONUT CREEK, FL, 330734355, US | |||||||||||||||||||
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| Phone | +1 561-571-1198 |
| Fax | 7543338264 |
Authorized person
| Name | DR. DANIEL KANTOR |
| Role | MEDICAL DIRECTOR |
| Phone | 5615711198 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | ME95890 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KANTOR JEFFREY | Agent | 6 FAIRFIELD BLVD, PONTE VEDRA BEACH, FL, 320824627 |
| Name | Role | Address |
|---|---|---|
| KANTOR JEFFREY | Director | 221 STELLAR CT, PONTE VEDRA, FL, 32082 |
| KANTOR JENNIFER | Director | 221 STELLAR CT, PONTE VEDRA, FL, 32082 |
| RUNYAN TAMAR | Director | 221 STELLAR CT, PONTE VEDRA, FL, 32082 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2011-04-11 | KANTOR, JEFFREY | No data |
| AMENDMENT | 2010-07-30 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-02-02 | 6 FAIRFIELD BLVD, 11, PONTE VEDRA BEACH, FL 32082-4627 | No data |
| CHANGE OF MAILING ADDRESS | 2010-02-02 | 6 FAIRFIELD BLVD, 11, PONTE VEDRA BEACH, FL 32082-4627 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-02-02 | 6 FAIRFIELD BLVD, 11, PONTE VEDRA BEACH, FL 32082-4627 | No data |
| AMENDMENT | 2009-03-30 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-07-12 |
| ANNUAL REPORT | 2015-02-22 |
| ANNUAL REPORT | 2014-02-26 |
| ANNUAL REPORT | 2013-03-14 |
| ANNUAL REPORT | 2012-04-29 |
| ANNUAL REPORT | 2011-04-11 |
| Amendment | 2010-07-30 |
| ANNUAL REPORT | 2010-02-02 |
| Amendment | 2009-03-30 |
| Domestic Non-Profit | 2009-01-26 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
