Entity Name: | NEUROHEALTH, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Active |
Date Filed: | 03 Apr 2003 (22 years ago) |
Document Number: | P03000037929 |
FEI/EIN Number | 57-1160251 |
Mail Address: | 168 THIRD AVE, WALTHAM, MA 02451 |
Address: | 929 N FRONT ST, WILMINGTON, NC 28401 |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1174945190 | 2014-01-10 | 2019-03-25 | 2685 SW 32ND PL, SUITE 100, OCALA, FL, 344717862, US | 2685 SW 32ND PL, SUITE 100, OCALA, FL, 344717862, US | |||||||||||||||||||||||||||
|
Phone | +1 352-732-9643 |
Fax | 3527322243 |
Authorized person
Name | NICOLE LOCKHART |
Role | ADMINISTRATOR |
Phone | 3527329643 |
Taxonomy
Taxonomy Code | 2084N0400X - Neurology Physician |
License Number | ME42777 |
State | FL |
Is Primary | Yes |
Taxonomy Code | 363A00000X - Physician Assistant |
License Number | PA2229 |
State | FL |
Is Primary | No |
Name | Role |
---|---|
CAPITOL CORPORATE SERVICES, INC. | Agent |
Name | Role | Address |
---|---|---|
Gerock III, Henry W | Asst. Secretary | 929 North Front St, WILMINGTON, NC 28401 |
Michaud, Michael | Asst. Secretary | 5823 Newton Drive, Carlsbad, CA 92008 |
Bruni, James | Asst. Secretary | 5823 Newton Drive, Carlsbad, CA 92008 |
Name | Role | Address |
---|---|---|
Spellman, Maura | Asst. Treasurer | 5823 Newton Drive, Carlsbad, CA 92008 |
Name | Role | Address |
---|---|---|
SMITH, ANTHONY H | DIRECTOR | 168 THIRD AVE, WALTHAM, MA 02451 |
CHEN, JULIA L | DIRECTOR | 168 THIRD AVE, WALTHAM, MA 02451 |
Name | Role | Address |
---|---|---|
CHEN, JULIA L | SECRETARY | 168 THIRD AVE, WALTHAM, MA 02451 |
Name | Role | Address |
---|---|---|
BERG, JASON JAMES | PRESIDENT | 168 THIRD AVE, WALTHAM, MA 02451 |
Name | Role | Address |
---|---|---|
CURET, AGUSTINA | ASSISTANT SECRETARY | 3900 PARAMOUNT PKWY, MORRISVILLE, NC 27560 |
GONCALVES, RAQUEL FEITOSA | ASSISTANT SECRETARY | 5781 VAL ALLEN WAY, CARLSBAD, CA 92008 |
Name | Role | Address |
---|---|---|
MOORE, AUDRA | TREASURER | 27 FORGE PARKWAY, FRANKLIN, MA 02038 |
Name | Role | Address |
---|---|---|
MOORE, AUDRA | Chief Financial Officer | 27 FORGE PARKWAY, FRANKLIN, MA 02038 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2023-04-19 | 929 N FRONT ST, WILMINGTON, NC 28401 | No data |
CHANGE OF MAILING ADDRESS | 2023-04-19 | 929 N FRONT ST, WILMINGTON, NC 28401 | No data |
REGISTERED AGENT NAME CHANGED | 2021-12-09 | CAPITOL CORPORATE SERVICES, INC. | No data |
REGISTERED AGENT ADDRESS CHANGED | 2021-12-09 | 515 EAST PARK AVENUE, 2ND FLOOR, TALLAHASSEE, FL 32301 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-18 |
ANNUAL REPORT | 2023-04-19 |
ANNUAL REPORT | 2022-01-25 |
Reg. Agent Change | 2021-12-09 |
ANNUAL REPORT | 2021-04-30 |
ANNUAL REPORT | 2020-01-24 |
Reg. Agent Change | 2020-01-24 |
ANNUAL REPORT | 2019-03-26 |
ANNUAL REPORT | 2018-03-18 |
ANNUAL REPORT | 2017-04-13 |
Date of last update: 06 Jan 2025
Sources: Florida Department of State