| Entity Name: | GRIMES NEUROLOGY AND CONCUSSION CENTER, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 03 Mar 2014 (11 years ago) |
| Document Number: | P14000019712 |
| FEI/EIN Number | 46-4922842 |
| Address: | 1515 HERBERT ST,, UNIT 208, PORT ORANGE, FL, 32129, US |
| Mail Address: | 1515 HERBERT ST,, UNIT 208, PORT ORANGE, FL, 32129, US |
| ZIP code: | 32129 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144645961 | 2014-03-03 | 2014-03-03 | 800 DUNLAWTON AVE STE 103, PORT ORANGE, FL, 321274249, US | 800 DUNLAWTON AVE STE 103, PORT ORANGE, FL, 321274249, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 386-679-3270 |
Authorized person
| Name | DR. JEREMY GRIMES |
| Role | PHYSICIAN/ NEUROLOGIST |
| Phone | 3866793270 |
Taxonomy
| Taxonomy Code | 2084N0400X - Neurology Physician |
| License Number | ME 106968 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Grimes Jeremy R | Agent | 1515 HERBERT ST,, PORT ORANGE, FL, 32129 |
| Name | Role | Address |
|---|---|---|
| Grimes Jeremy R | President | 1515 HERBERT ST,, PORT ORANGE, FL, 32129 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000040315 | GRIMES NEUROLOGY & CONCUSSION CENTER, P.A. | ACTIVE | 2014-04-23 | 2029-12-31 | No data | 1515 HERBERT ST UNIT 208, PORT ORANGE, FL, 32129 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2025-01-29 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-01-22 | 1515 HERBERT ST,, UNIT 208, PORT ORANGE, FL 32129 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-03-06 | 1515 HERBERT ST,, UNIT 208, PORT ORANGE, FL 32129 | No data |
| CHANGE OF MAILING ADDRESS | 2019-03-06 | 1515 HERBERT ST,, UNIT 208, PORT ORANGE, FL 32129 | No data |
| REGISTERED AGENT NAME CHANGED | 2015-02-18 | Grimes, Jeremy R | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-26 |
| ANNUAL REPORT | 2023-02-28 |
| ANNUAL REPORT | 2022-02-01 |
| ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2020-01-22 |
| ANNUAL REPORT | 2019-01-23 |
| ANNUAL REPORT | 2018-01-09 |
| ANNUAL REPORT | 2017-01-10 |
| ANNUAL REPORT | 2016-02-11 |
| ANNUAL REPORT | 2015-02-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
