| Entity Name: | WEST PALM BEACH NEUROLOGY, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
WEST PALM BEACH NEUROLOGY, P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 28 Jan 2004 (21 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 18 May 2020 (5 years ago) |
| Document Number: | P04000021688 |
| FEI/EIN Number |
412124483
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2287 STOTESBURY WAY, WELLINGTON, FL, 33414, US |
| Mail Address: | 2287 STOTESBURY WAY, WELLINGTON, FL, 33414, US |
| ZIP code: | 33414 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730299272 | 2006-08-30 | 2013-01-07 | 1035 S STATE ROAD 7 STE 214, WELLINGTON, FL, 334146137, US | 1035 S STATE ROAD 7 STE 214, WELLINGTON, FL, 334146137, US | |||||||||||||||||||||||||||||||
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| Phone | +1 561-422-1006 |
| Fax | 5614221078 |
Authorized person
| Name | JAMAL ABDEL-HALIM |
| Role | PRESIDENT/OWNER |
| Phone | 5614221006 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME85753 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD OF FLORIDA |
| Number | 51436 |
| State | FL |
| Issuer | MEDICAID |
| Number | 265548900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ABDEL-HALIM, M.D. JAMAL MOHAMMAD | Manager | 2287 STOTESBURY WAY, WELLINGTON, FL, 33414 |
| ABDEL-HALIM, M.D. JAMAL MOHAMMAD | Director | 2287 STOTESBURY WAY, WELLINGTON, FL, 33414 |
| ABDEL-HALIM, M.D. JAMAL MOHAMMAD | Agent | 2287 STOTESBURY WAY, WELLINGTON, FL, 33414 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2020-05-18 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2020-03-16 | 2287 STOTESBURY WAY, WELLINGTON, FL 33414 | - |
| CHANGE OF MAILING ADDRESS | 2020-03-16 | 2287 STOTESBURY WAY, WELLINGTON, FL 33414 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2020-03-16 | 2287 STOTESBURY WAY, WELLINGTON, FL 33414 | - |
| AMENDMENT | 2016-09-22 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-03-09 |
| ANNUAL REPORT | 2022-04-04 |
| ANNUAL REPORT | 2021-03-15 |
| Amendment | 2020-05-18 |
| ANNUAL REPORT | 2020-03-16 |
| ANNUAL REPORT | 2019-02-18 |
| ANNUAL REPORT | 2018-03-11 |
| ANNUAL REPORT | 2017-03-28 |
| Amendment | 2016-09-22 |
Date of last update: 03 May 2025
Sources: Florida Department of State
