| Entity Name: | WESLEY CHAPEL NEUROLOGY, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 31 Jul 2014 (11 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | P14000064810 |
| FEI/EIN Number | 47-1322047 |
| Address: | 28945 STATE RD 54 SUITE 102, WESLEY CHAPEL, FL, 33543 |
| Mail Address: | 28945 STATE RD 54 SUITE 102, WESLEY CHAPEL, FL, 33543 |
| ZIP code: | 33543 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326440868 | 2014-09-16 | 2014-12-30 | 28945 STATE ROAD 54, SUITE 102, WESLEY CHAPEL, FL, 33543, US | 28945 STATE ROAD 54, SUITE 102, WESLEY CHAPEL, FL, 33543, US | |||||||||||||||||||
|
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| Phone | +1 813-973-4563 |
| Fax | 8139734532 |
Authorized person
| Name | MR. JOSEPH BASI |
| Role | PRESIDENT |
| Phone | 8139734563 |
Taxonomy
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| License Number | ARNP3154412 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BASI JOSEPH | Agent | 29213 CROSSLAND DR, WESLEY CHAPEL, FL, 33543 |
| Name | Role | Address |
|---|---|---|
| BASI JOSEPH | President | 29213 CROSSLAND DR, WESLEY CHAPEL, FL, 33543 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| AMENDMENT AND NAME CHANGE | 2014-08-07 | WESLEY CHAPEL NEUROLOGY, P.A. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-01-12 |
| Amendment and Name Change | 2014-08-07 |
| Domestic Profit | 2014-07-31 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
