| Entity Name: | NEUROLOGY ASSOCIATES OF NORTH FLORIDA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
NEUROLOGY ASSOCIATES OF NORTH FLORIDA, INC. 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: | 10 Jun 2005 (20 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 17 Dec 2015 (9 years ago) |
| Document Number: | P05000084176 |
| FEI/EIN Number |
202981317
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1550 Roberts Drive, Jacksonville Beach, FL, 32250, US |
| Mail Address: | 1550 Roberts Drive, Jacksonville Beach, FL, 32250, US |
| ZIP code: | 32250 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104863042 | 2006-05-31 | 2012-01-24 | PO BOX 17809, JACKSONVILLE, FL, 322457809, US | 1361 13TH AVE S STE 170A, JACKSONVILLE BEACH, FL, 322503235, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 904-723-0015 |
| Fax | 9043380951 |
| Phone | +1 904-249-4456 |
| Fax | 9042497703 |
Authorized person
| Name | RICHARD BOEHME |
| Role | PRESIDENT |
| Phone | 9042494456 |
Taxonomy
| Taxonomy Code | 2084N0400X - Neurology Physician |
| License Number | ME62533 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | R.R. MEDICARE |
| Number | DD6330 |
| Issuer | BCBS |
| Number | 33708 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Boehme Richard J | President | 1550 Roberts Drive, Jacksonville Beach, FL, 32250 |
| FAIRBANKS RANDAL C | Agent | 800 West Monroe Street, Jacksonville, FL, 32202 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-24 | 1550 Roberts Drive, Jacksonville Beach, FL 32250 | - |
| CHANGE OF MAILING ADDRESS | 2022-01-24 | 1550 Roberts Drive, Jacksonville Beach, FL 32250 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-04 | 800 West Monroe Street, Jacksonville, FL 32202 | - |
| REINSTATEMENT | 2015-12-17 | - | - |
| REGISTERED AGENT NAME CHANGED | 2015-12-17 | FAIRBANKS, RANDAL C | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-20 |
| ANNUAL REPORT | 2024-01-08 |
| ANNUAL REPORT | 2023-01-16 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-01-04 |
| ANNUAL REPORT | 2020-01-14 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-01-28 |
| ANNUAL REPORT | 2017-01-10 |
| ANNUAL REPORT | 2016-03-30 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 4985878409 | 2021-02-07 | 0491 | PPS | 1361 13th Ave S Ste 170A, Jacksonville Beach, FL, 32250-3235 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 3433087300 | 2020-04-29 | 0491 | PPP | 1361 13TH AVE S STE 170A, JACKSONVILLE BEACH, FL, 32250 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 May 2025
Sources: Florida Department of State
