| Entity Name: | ADVANCED NEUROLOGY OF THE PALM BEACHES, P. A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 22 Oct 2007 (17 years ago) |
| Document Number: | P07000115855 |
| FEI/EIN Number | 261277721 |
| Address: | 3400 BURNS ROAD, PALM BEACH GARDENS, FL, 33410, US |
| Mail Address: | 3400 BURNS ROAD, PALM BEACH GARDENS, FL, 33410, US |
| ZIP code: | 33410 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790924835 | 2009-02-12 | 2021-10-07 | 3375 BURNS RD, SUITE 203, PALM BEACH GARDENS, FL, 334104349, US | 3400 BURNS RD STE 101, PALM BEACH GARDENS, FL, 334104352, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 561-626-1159 |
| Fax | 5616265788 |
| Fax | 5612757050 |
Authorized person
| Name | MR. JOSE M HERNANDEZ JR. |
| Role | CREDENTIALING COORDINATOR |
| Phone | 5616261159 |
Taxonomy
| Taxonomy Code | 2084N0400X - Neurology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MCDIVITT JOHN M | Agent | 101 NORTH J STREET, LAKE WORTH, FL, 33460 |
| Name | Role | Address |
|---|---|---|
| ZUNIGA-BARBONI SYLVIA | President | 3400 BURNS ROAD, SUITE 101, PALM BEACH GARDENS, FL, 33410 |
| Name | Role | Address |
|---|---|---|
| ZUNIGA-BARBONI SYLVIA | Secretary | 3400 BURNS ROAD, SUITE 101, PALM BEACH GARDENS, FL, 33410 |
| Name | Role | Address |
|---|---|---|
| ZUNIGA-BARBONI SYLVIA | Treasurer | 3400 BURNS ROAD, SUITE 101, PALM BEACH GARDENS, FL, 33410 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-02-07 | 3400 BURNS ROAD, SUITE # 101, PALM BEACH GARDENS, FL 33410 | No data |
| CHANGE OF MAILING ADDRESS | 2023-02-07 | 3400 BURNS ROAD, SUITE # 101, PALM BEACH GARDENS, FL 33410 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-23 |
| ANNUAL REPORT | 2023-02-07 |
| ANNUAL REPORT | 2022-03-08 |
| ANNUAL REPORT | 2021-01-12 |
| ANNUAL REPORT | 2020-02-11 |
| ANNUAL REPORT | 2019-04-02 |
| ANNUAL REPORT | 2018-02-06 |
| ANNUAL REPORT | 2017-01-24 |
| ANNUAL REPORT | 2016-03-08 |
| ANNUAL REPORT | 2015-03-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
