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AMERICAN NEUROLOGY AND RADIOLOGY, PA

Company Details

Entity Name: AMERICAN NEUROLOGY AND RADIOLOGY, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 27 Jun 2012 (13 years ago)
Date of dissolution: 27 Sep 2013 (11 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2013 (11 years ago)
Document Number: P12000057707
Address: 301 YAMATO ROAD, BOCA RATON, FL, 33431
Mail Address: 301 YAMATO ROAD, BOCA RATON, FL, 33431
ZIP code: 33431
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1912261561 2012-06-28 2012-06-28 301 YAMATO RD STE 1100, BOCA RATON, FL, 334314901, US 301 YAMATO RD STE 1100, BOCA RATON, FL, 334314901, US

Contacts

Phone +1 877-302-9070

Authorized person

Name RUSSELL PACKARD
Role OWNER
Phone 8773029070

Taxonomy

Taxonomy Code 174400000X - Specialist
License Number ME30779
State FL
Is Primary Yes

Agent

Name Role
CORPORATION SERVICE COMPANY Agent

President

Name Role Address
PACKARD RUSSELL President 301 YAMATO ROAD, BOCA RATON, FL, 33431

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2013-09-27 No data No data

Documents

Name Date
Reg. Agent Resignation 2021-07-21
Domestic Profit 2012-06-27

Date of last update: 02 Feb 2025

Sources: Florida Department of State