| Entity Name: | ST. MARY'S NEUROLOGY CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 15 May 2006 (19 years ago) |
| Document Number: | P06000067934 |
| FEI/EIN Number | 223931527 |
| Address: | 15267 AMBERLY DRIVE, TAMPA, FL, 33647 |
| Mail Address: | 15267 AMBERLY DRIVE, TAMPA, FL, 33647 |
| ZIP code: | 33647 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477641959 | 2006-10-10 | 2015-07-02 | 15267 AMBERLY DR, TAMPA, FL, 336472155, US | 15267 AMBERLY DR, TAMPA, FL, 336472155, US | |||||||||||||||||||
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| Phone | +1 813-972-5414 |
| Fax | 8139725413 |
Authorized person
| Name | REENA J. KAVILAVEETTIL |
| Role | PRESIDENT |
| Phone | 8139725414 |
Taxonomy
| Taxonomy Code | 2084N0400X - Neurology Physician |
| License Number | ME92765 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KAVILAVEETTIL REENA | Agent | 15267 AMBERLY DRIVE, TAMPA, FL, 33647 |
| Name | Role | Address |
|---|---|---|
| KAVILAVEETTIL REENA J | Director | 15267 AMBERLY DRIVE, TAMPA, FL, 33647 |
| Name | Role | Address |
|---|---|---|
| KAVILAVEETTIL REENA J | President | 15267 AMBERLY DRIVE, TAMPA, FL, 33647 |
| Name | Role | Address |
|---|---|---|
| KAVILAVEETTIL REENA J | Secretary | 15267 AMBERLY DRIVE, TAMPA, FL, 33647 |
| Name | Role | Address |
|---|---|---|
| KAVILAVEETTIL REENA J | Treasurer | 15267 AMBERLY DRIVE, TAMPA, FL, 33647 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2009-04-04 | 15267 AMBERLY DRIVE, TAMPA, FL 33647 | No data |
| CHANGE OF MAILING ADDRESS | 2009-04-04 | 15267 AMBERLY DRIVE, TAMPA, FL 33647 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-04-04 | 15267 AMBERLY DRIVE, TAMPA, FL 33647 | No data |
| REGISTERED AGENT NAME CHANGED | 2007-04-20 | KAVILAVEETTIL, REENA | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-20 |
| ANNUAL REPORT | 2023-02-11 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-02-19 |
| ANNUAL REPORT | 2019-02-13 |
| ANNUAL REPORT | 2018-02-20 |
| ANNUAL REPORT | 2017-03-15 |
| ANNUAL REPORT | 2016-02-27 |
| ANNUAL REPORT | 2015-02-26 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 9803347704 | 2020-05-01 | 0455 | PPP | 15267 amberly Drive,, Tampa, FL, 33647 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Feb 2025
Sources: Florida Department of State
