| Entity Name: | ACADEMY OF NEUROSURGICAL PHYSICIANS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 24 Jul 2002 (23 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 15 Apr 2021 (4 years ago) |
| Document Number: | P02000080505 |
| FEI/EIN Number | 562283491 |
| Address: | 1685 SOUTH State Road 7, Unit 4, Hollywood, FL, 33023, US |
| Mail Address: | 1685 SOUTH State Road 7, Unit 4, Hollywood, FL, 33023, US |
| ZIP code: | 33023 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235591009 | 2016-03-22 | 2024-06-02 | 1685 S STATE ROAD 7 STE 4, HOLLYWOOD, FL, 330236721, US | 1685 S STATE ROAD 7 STE 4, HOLLYWOOD, FL, 330236721, US | |||||||||||||||||||||||||||
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| Phone | +1 954-459-6000 |
| Fax | 9544593333 |
Authorized person
| Name | ANTHONY JAMES HALL |
| Role | PRESIDENT |
| Phone | 9544594600 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 264899700 |
| State | FL |
| Issuer | RAILROAD MEDICARE |
| Number | 140007991 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Hall Anthony J | Agent | 1685 SOUTH State Road 7, Hollywood, FL, 33023 |
| Name | Role | Address |
|---|---|---|
| HALL ANTHONY J | President | 1685 SOUTH State Road 7, Hollywood, FL, 33023 |
| Name | Role | Address |
|---|---|---|
| HALL ANTHONY J | Vice President | 1685 SOUTH State Road 7, Hollywood, FL, 33023 |
| Name | Role | Address |
|---|---|---|
| HALL ANTHONY J | Secretary | 1685 SOUTH State Road 7, Hollywood, FL, 33023 |
| Name | Role | Address |
|---|---|---|
| HALL ANTHONY J | Treasurer | 1685 SOUTH State Road 7, Hollywood, FL, 33023 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000080518 | CANNABIS REHAB GROUP | EXPIRED | 2014-08-05 | 2019-12-31 | No data | 18900 SW 59TH STREET, SOUTHWEST RANCHES, FL, 33332 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2021-04-15 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-01-22 | 1685 SOUTH State Road 7, Unit 4, Hollywood, FL 33023 | No data |
| CHANGE OF MAILING ADDRESS | 2021-01-22 | 1685 SOUTH State Road 7, Unit 4, Hollywood, FL 33023 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-22 | 1685 SOUTH State Road 7, Unit 4, Hollywood, FL 33023 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-03-06 | Hall, Anthony J. | No data |
| REINSTATEMENT | 2010-07-13 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-21 |
| ANNUAL REPORT | 2023-02-01 |
| ANNUAL REPORT | 2022-01-30 |
| Amendment | 2021-04-15 |
| ANNUAL REPORT | 2021-01-22 |
| ANNUAL REPORT | 2020-06-08 |
| ANNUAL REPORT | 2019-04-13 |
| ANNUAL REPORT | 2018-03-06 |
| ANNUAL REPORT | 2017-02-11 |
| ANNUAL REPORT | 2016-01-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
