| Entity Name: | THE HEADACHE AND NEUROLOGY CLINIC, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
THE HEADACHE AND NEUROLOGY CLINIC, PA 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: | 08 Jan 2007 (18 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 12 Apr 2020 (5 years ago) |
| Document Number: | P07000003384 |
| FEI/EIN Number |
41-2226024
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 11323 CORTEZ BLVD., BROOKSVILLE, FL, 34613, US |
| Mail Address: | 11323 CORTEZ BLVD., BROOKSVILLE, FL, 34613, US |
| ZIP code: | 34613 |
| County: | Hernando |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770614786 | 2007-03-08 | 2010-07-06 | 11373 CORTEZ BLVD STE 303, BROOKSVILLE, FL, 346135411, US | 11373 CORTEZ BLVD STE 303, 303, BROOKSVILLE, FL, 346135411, US | |||||||||||||||||||||||
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| Phone | +1 352-596-8344 |
| Fax | 3525972898 |
Authorized person
| Name | DR. QAHTAN ABDULFATTAH |
| Role | PRESIDENT |
| Phone | 3525968344 |
Taxonomy
| Taxonomy Code | 204D00000X - Neuromusculoskeletal Medicine & OMM Physician |
| License Number | ME92671 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PROVIDER'S INDIVIDUAL NPI |
| Number | 1558370411 |
| Name | Role | Address |
|---|---|---|
| ABDULFATTAH QAHTAN Dr. | Director | 11323 CORTEZ BLVD., BROOKSVILLE, FL, 34613 |
| ABDULFATTAH QAHTAN Dr. | President | 11323 CORTEZ BLVD., BROOKSVILLE, FL, 34613 |
| Abdulfattah Qahtan | Agent | 11323 CORTEZ BLVD., BROOKSVILLE, FL, 34613 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2020-04-12 | - | - |
| REGISTERED AGENT NAME CHANGED | 2020-04-12 | Abdulfattah, Qahtan | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2011-03-03 | 11323 CORTEZ BLVD., BROOKSVILLE, FL 34613 | - |
| CHANGE OF MAILING ADDRESS | 2011-03-03 | 11323 CORTEZ BLVD., BROOKSVILLE, FL 34613 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2011-03-03 | 11323 CORTEZ BLVD., BROOKSVILLE, FL 34613 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-17 |
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-02-27 |
| ANNUAL REPORT | 2022-02-02 |
| ANNUAL REPORT | 2021-04-29 |
| REINSTATEMENT | 2020-04-12 |
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-03-30 |
| ANNUAL REPORT | 2016-05-09 |
| ANNUAL REPORT | 2015-04-30 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
