| Entity Name: | PUTNAM NEUROLOGY GROUP, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 20 Nov 2014 (10 years ago) |
| Document Number: | P14000094523 |
| FEI/EIN Number | 47-2398815 |
| Address: | 800 ZEAGLER DRIVE, SUITE #420, PALATKA, FL, 32177, US |
| Mail Address: | 800 ZEAGLER DRIVE, SUITE #420, PALATKA, FL, 32177, US |
| ZIP code: | 32177 |
| County: | Putnam |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346647435 | 2014-12-04 | 2014-12-04 | 800 ZEAGLER DR, SUITE #230, PALATKA, FL, 321773883, US | 800 ZEAGLER DR, SUITE #230, PALATKA, FL, 321773883, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 386-385-3043 |
| Fax | 3863853187 |
Authorized person
| Name | DR. FAWZI YOUSEF ELSAGGA |
| Role | PRESIDENT |
| Phone | 3863853043 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME108923 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ELSAGGA FAWZI Y | Agent | 800 ZEAGLER DRIVE, PALATKA, FL, 32177 |
| Name | Role | Address |
|---|---|---|
| ELSAGGA FAWZI Y | President | 800 ZEAGLER DRIVE, PALATKA, FL, 32177 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-08 | 800 ZEAGLER DRIVE, SUITE #420, PALATKA, FL 32177 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-08 | 800 ZEAGLER DRIVE, SUITE #420, PALATKA, FL 32177 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-08 | 800 ZEAGLER DRIVE, SUITE #420, PALATKA, FL 32177 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-08 |
| ANNUAL REPORT | 2023-03-24 |
| ANNUAL REPORT | 2022-01-28 |
| ANNUAL REPORT | 2021-02-16 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-02-11 |
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-02-10 |
| ANNUAL REPORT | 2016-03-09 |
| ANNUAL REPORT | 2015-02-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
