| Entity Name: | SUNCOAST PEDIATRIC EPILEPSY & NEUROPSYCHOLOGY SPECIALISTS, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 03 Apr 2007 (18 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: | P07000041379 |
| FEI/EIN Number | 208791690 |
| Address: | 101 AMERICAN CENTER PL., STE 109, TAMPA, FL, 33619 |
| Mail Address: | 101 AMERICAN CENTER PL., STE 109, TAMPA, FL, 33619 |
| ZIP code: | 33619 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063743896 | 2010-01-19 | 2010-01-19 | 833 CYPRESS VILLAGE BLVD, RUSKIN, FL, 335736822, US | 833 CYPRESS VILLAGE BLVD, RUSKIN, FL, 335736822, US | |||||||||||||||||||||||
|
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| Phone | +1 813-633-6000 |
Authorized person
| Name | YOLANDA LEON |
| Role | OWNER |
| Phone | 8136336000 |
Taxonomy
| Taxonomy Code | 103G00000X - Clinical Neuropsychologist |
| License Number | PY5685 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE |
| Number | BH036Z |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LEON YOLANDA C | Agent | 833 CYPRESS VILLAGE BLVD, RUSKIN, FL, 33573 |
| Name | Role | Address |
|---|---|---|
| LEON YOLANDA C | Director | 833 CYPRESS VILLAGE BLVD, RUSKIN, FL, 33573 |
| LEON ROLANDO | Director | 3418 GRACE ST, TAMPA, FL, 33607 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| PENDING REINSTATEMENT | 2013-04-30 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-08-26 | 101 AMERICAN CENTER PL., STE 109, TAMPA, FL 33619 | No data |
| CHANGE OF MAILING ADDRESS | 2010-08-26 | 101 AMERICAN CENTER PL., STE 109, TAMPA, FL 33619 | No data |
| REINSTATEMENT | 2009-11-11 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2008-05-02 | 833 CYPRESS VILLAGE BLVD, RUSKIN, FL 33573 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J16000236798 | TERMINATED | 1000000709147 | HILLSBOROU | 2016-03-31 | 2026-04-06 | $ 408.25 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 6302 E DR MARTIN LUTHER KING JR BLVD S, TAMPA FL336191166 |
| J15000625430 | TERMINATED | 1000000678236 | HILLSBOROU | 2015-05-21 | 2025-05-28 | $ 404.06 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 6302 E DR MARTIN LUTHER KING JR BLVD S, TAMPA FL336191166 |
| J10000735354 | TERMINATED | 1000000178154 | HILLSBOROU | 2010-06-24 | 2020-07-07 | $ 1,221.06 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 6302 E DR MARTIN LUTHER KING JR BLVD S, TAMPA FL336191166 |
| Name | Date |
|---|---|
| ADDRESS CHANGE | 2010-08-26 |
| REINSTATEMENT | 2009-11-11 |
| ANNUAL REPORT | 2008-05-02 |
| Domestic Profit | 2007-04-03 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
