| Entity Name: | FLORIDA SLEEP & NEURO DIAGNOSTIC SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 15 Sep 2009 (15 years ago) |
| Last Event: | AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 08 Nov 2010 (14 years ago) |
| Document Number: | P09000076797 |
| FEI/EIN Number | 270922353 |
| Address: | 1755 NORTH UNIVERSITY DRIVE, PEMBROKE PINES, FL, 33024, US |
| Mail Address: | 1755 NORTH UNIVERSITY DRIVE, PEMBROKE PINES, FL, 33024, US |
| ZIP code: | 33024 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295035335 | 2010-10-22 | 2024-02-29 | 1755 N UNIVERSITY DR, PEMBROKE PINES, FL, 330243601, US | 1755 N UNIVERSITY DR, PEMBROKE PINES, FL, 330243601, US | |||||||||||||||||||||||||||||
|
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| Phone | +1 305-370-3100 |
| Fax | 3058178974 |
Authorized person
| Name | DANIEL ANTONIO OTAYEK |
| Role | CFO |
| Phone | 3053703100 |
Taxonomy
| Taxonomy Code | 225B00000X - Pulmonary Function Technologist |
| Is Primary | No |
| Taxonomy Code | 261QR1100X - Research Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QS1200X - Sleep Disorder Diagnostic Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 115810600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Otayek Daniel A | Agent | 1755 NORTH UNIVERSITY DRIVE, PEMBROKE PINES, FL, 33024 |
| Name | Role | Address |
|---|---|---|
| OTAYEK DANIEL | Manager | 1755 NORTH UNIVERSITY DRIVE, PEMBROKE PINES, FL, 33024 |
| Name | Role | Address |
|---|---|---|
| Otayek Michel A | Chief Executive Officer | 1755 NORTH UNIVERSITY DRIVE, PEMBROKE PINES, FL, 33024 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000109888 | PRO PRECISION RESEARCH ORGANIZATION | EXPIRED | 2011-11-10 | 2016-12-31 | No data | 14394 COMMERCE WAY, MIAMI LAKES, FL, 33016 |
| G09000168069 | FSNDS | EXPIRED | 2009-10-22 | 2014-12-31 | No data | 17455 NW 75TH PLACE #205, MIAMI, FL, 33015 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-11 | 1755 NORTH UNIVERSITY DRIVE, PEMBROKE PINES, FL 33024 | No data |
| CHANGE OF MAILING ADDRESS | 2024-01-11 | 1755 NORTH UNIVERSITY DRIVE, PEMBROKE PINES, FL 33024 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-11 | 1755 NORTH UNIVERSITY DRIVE, PEMBROKE PINES, FL 33024 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-01-24 | Otayek, Daniel A | No data |
| AMENDMENT AND NAME CHANGE | 2010-11-08 | FLORIDA SLEEP & NEURO DIAGNOSTIC SERVICES, INC. | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-01-11 |
| ANNUAL REPORT | 2024-01-05 |
| ANNUAL REPORT | 2023-01-24 |
| AMENDED ANNUAL REPORT | 2022-01-18 |
| ANNUAL REPORT | 2022-01-06 |
| ANNUAL REPORT | 2021-03-01 |
| AMENDED ANNUAL REPORT | 2020-08-13 |
| ANNUAL REPORT | 2020-03-06 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-03-26 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
