| Entity Name: | TAVERNIER NEUROLOGICAL CENTER INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 11 Feb 2002 (23 years ago) |
| Date of dissolution: | 12 Feb 2024 (a year ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 12 Feb 2024 (a year ago) |
| Document Number: | P02000015794 |
| FEI/EIN Number | 043611145 |
| Address: | 91550 OVERSEAS HWY, MEDICAL ARTS BLDG.-SUITE 115, TAVERNIER, FL, 33070 |
| Mail Address: | 420 Pittman Ave, Vero Beach, FL, 32968, US |
| ZIP code: | 33070 |
| County: | Monroe |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811055536 | 2006-12-05 | 2013-12-16 | PO BOX 460, TAVERNIER, FL, 330700460, US | 91550 OVERSEAS HWY, MEDICAL ARTS BUILDING SUITE 115, TAVERNIER, FL, 330702506, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 305-853-0415 |
| Fax | 3058531708 |
Authorized person
| Name | MR. RICARDO SOLTERO |
| Role | SECRETARY - TREASURER |
| Phone | 3058530415 |
Taxonomy
| Taxonomy Code | 2084N0400X - Neurology Physician |
| License Number | ME 84115 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 263830400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| OVERFIELD RICHARD L | Agent | 116 PLANTATION SHORES DR, TAVERNIER, FL, 33070 |
| Name | Role | Address |
|---|---|---|
| BROWN-SOLTERO ELISA MM.D. | President | 150 KAHIKI DRIVE, TAVERNIER, FL, 33070 |
| Name | Role | Address |
|---|---|---|
| BROWN-SOLTERO ELISA MM.D. | Director | 150 KAHIKI DRIVE, TAVERNIER, FL, 33070 |
| SOLTERO RICARDO | Director | 150 KAHIKI DRIVE, TAVERNIER, FL, 33070 |
| Name | Role | Address |
|---|---|---|
| SOLTERO RICARDO | Secretary | 150 KAHIKI DRIVE, TAVERNIER, FL, 33070 |
| Name | Role | Address |
|---|---|---|
| SOLTERO RICARDO | Treasurer | 150 KAHIKI DRIVE, TAVERNIER, FL, 33070 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-02-12 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2023-03-12 | 91550 OVERSEAS HWY, MEDICAL ARTS BLDG.-SUITE 115, TAVERNIER, FL 33070 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2004-01-15 | 91550 OVERSEAS HWY, MEDICAL ARTS BLDG.-SUITE 115, TAVERNIER, FL 33070 | No data |
| AMENDMENT | 2002-05-28 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-02-12 |
| ANNUAL REPORT | 2023-03-12 |
| ANNUAL REPORT | 2022-03-14 |
| ANNUAL REPORT | 2021-02-02 |
| ANNUAL REPORT | 2020-03-05 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-03-16 |
| ANNUAL REPORT | 2017-03-11 |
| ANNUAL REPORT | 2016-04-01 |
| ANNUAL REPORT | 2015-03-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
