| Entity Name: | NEUROBEHAVIORAL SPECIALISTS OF JACKSONVILLE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 10 Nov 2014 (10 years ago) |
| Document Number: | P14000091607 |
| FEI/EIN Number | 47-2310033 |
| Mail Address: | 2221 Justin Road, Flower Mound, TX, 75028, US |
| Address: | 12443 San Jose Blvd., Jacksonville, FL, 32223, US |
| ZIP code: | 32223 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376941310 | 2014-12-08 | 2014-12-08 | 4110 SOUTHPOINT BLVD STE 212, JACKSONVILLE, FL, 322160927, US | 4110 SOUTHPOINT BLVD STE 212, JACKSONVILLE, FL, 322160927, US | |||||||||||||||||
|
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| Phone | +1 352-682-0060 |
Authorized person
| Name | MICHELLE A PROSJE |
| Role | OWNER |
| Phone | 3526820060 |
Taxonomy
| Taxonomy Code | 103G00000X - Clinical Neuropsychologist |
| License Number | PY8710 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PROSJE MICHELLE A | Agent | 2221 Justin Road, Flower Mound, FL, 75028 |
| Name | Role | Address |
|---|---|---|
| PROSJE MICHELLE APsyD | President | 2221 Justin Road, Flower Mound, TX, 75028 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000114310 | NBS-JAX | EXPIRED | 2014-11-12 | 2019-12-31 | No data | 10950-60 SAN JOSE BLVD., #184, JACKSONVILLE, FL, 32223 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-02 | 12443 San Jose Blvd., Suite #301, Jacksonville, FL 32223 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-10 | 12443 San Jose Blvd., Suite #301, Jacksonville, FL 32223 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-10 | 2221 Justin Road, Suite 119-229, Suite #209, Flower Mound, FL 75028 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-02 |
| ANNUAL REPORT | 2023-04-10 |
| ANNUAL REPORT | 2022-04-15 |
| ANNUAL REPORT | 2021-03-14 |
| ANNUAL REPORT | 2020-06-07 |
| ANNUAL REPORT | 2019-06-20 |
| ANNUAL REPORT | 2018-03-25 |
| ANNUAL REPORT | 2017-02-18 |
| ANNUAL REPORT | 2016-03-19 |
| ANNUAL REPORT | 2015-04-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
