| Entity Name: | NEUROLOGY & PAIN CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 11 Jul 2005 (20 years ago) |
| Date of dissolution: | 24 Sep 2010 (14 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2010 (14 years ago) |
| Document Number: | P05000097494 |
| FEI/EIN Number | 203169031 |
| Address: | 8451 SHADE AVENUE, STE 108, SARASOTA, FL, 34243 |
| Mail Address: | 8451 SHADE AVENUE, STE 108, SARASOTA, FL, 34243 |
| ZIP code: | 34243 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710136064 | 2008-09-11 | 2008-09-11 | 8451 SHADE AVE, STE 108, SARASOTA, FL, 342432878, US | 8451 SHADE AVE, STE 108, SARASOTA, FL, 342432878, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 941-360-1030 |
| Fax | 9413601202 |
Authorized person
| Name | TROY A WUBBENA |
| Role | PRESIDENT |
| Phone | 8133886632 |
Taxonomy
| Taxonomy Code | 2084D0003X - Diagnostic Neuroimaging (Psychiatry & Neurology) Physician |
| License Number | ME43369 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 2084N0008X - Neuromuscular Medicine (Psychiatry & Neurology) Physician |
| License Number | ME43369 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 2084N0400X - Neurology Physician |
| License Number | ME43369 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 2084N0600X - Clinical Neurophysiology Physician |
| License Number | ME43369 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 2084P2900X - Pain Medicine (Psychiatry & Neurology) Physician |
| License Number | ME43369 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 2084S0012X - Sleep Medicine (Psychiatry & Neurology) Physician |
| License Number | ME43369 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 363AM0700X - Medical Physician Assistant |
| License Number | PA9104389 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| WUBBENA TROY | Agent | 1525 EAST AMELIA STREET, ORLANDO, FL, 32803 |
| Name | Role | Address |
|---|---|---|
| WUBBENA TROY | Director | 1525 EAST AMELIA STREET, ORLANDO, FL, 32803 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G08092900342 | JEFFREY FRIEDLANDER, M.D. | EXPIRED | 2008-04-01 | 2013-12-31 | No data | PO BOX 17679, TAMPA, FL, 33682 |
| G08092900331 | NEUROLOGY & PAIN CENTER | EXPIRED | 2008-04-01 | 2013-12-31 | No data | PO BOX 17679, TAMPA, FL, 33682 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2009-04-29 | 8451 SHADE AVENUE, STE 108, SARASOTA, FL 34243 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-04-29 | 1525 EAST AMELIA STREET, ORLANDO, FL 32803 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-04-27 | 8451 SHADE AVENUE, STE 108, SARASOTA, FL 34243 | No data |
| AMENDMENT AND NAME CHANGE | 2006-01-03 | NEUROLOGY & PAIN CENTER, INC. | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J11000573357 | LAPSED | 1000000231131 | SARASOTA | 2011-08-26 | 2021-09-07 | $ 2,787.88 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MAITLAND SERVICE CENTER, 2301 MAITLAND CENTER PKWY STE 160, MAITLAND FL327514192 |
| J09002150174 | LAPSED | 2009-CA-07419 | DUVAL COUNTY CIRCUIT COURT | 2009-08-19 | 2014-09-21 | $$78,273.60 | RUTGERS PLAZA, II, LTD., 2206 W. ATLANTIC AVENUE, SUITE 201, DELRAY BEACH, FLORIDA 33445 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2009-04-29 |
| ANNUAL REPORT | 2008-05-01 |
| ANNUAL REPORT | 2007-04-27 |
| ANNUAL REPORT | 2006-05-01 |
| Amendment and Name Change | 2006-01-03 |
| Domestic Profit | 2005-07-11 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
