| Entity Name: | BAY AREA NEUROTECH SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 13 Jul 2015 (10 years ago) |
| Document Number: | P15000059699 |
| FEI/EIN Number | 47-4604508 |
| Address: | 1006 N. Wills Street, Plant City, FL, 33563, US |
| Mail Address: | 1006 N. Wills Street, Plant City, FL, 33563, US |
| ZIP code: | 33563 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972141471 | 2019-12-16 | 2019-12-16 | 1113 CLASSIC DR, VALRICO, FL, 335946610, US | 3501 CATTLEMEN RD STE A, SARASOTA, FL, 342326054, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 941-342-9477 |
Authorized person
| Name | MRS. FAITH ROGERS |
| Role | BILLING MANAGER |
| Phone | 9413429445 |
Taxonomy
| Taxonomy Code | 2084N0400X - Neurology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1053500124 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DIPPOLD KAREN | Agent | 1006 N. Wills Street, Plant City, FL, 33563 |
| Name | Role | Address |
|---|---|---|
| DIPPOLD KAREN | President | 1006 N. Wills Street, Plant City, FL, 33563 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-04 | 1006 N. Wills Street, Plant City, FL 33563 | No data |
| CHANGE OF MAILING ADDRESS | 2023-01-04 | 1006 N. Wills Street, Plant City, FL 33563 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-01-04 | DIPPOLD, KAREN | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-04 | 1006 N. Wills Street, Plant City, FL 33563 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-11 |
| ANNUAL REPORT | 2023-01-04 |
| ANNUAL REPORT | 2022-04-13 |
| ANNUAL REPORT | 2021-02-03 |
| ANNUAL REPORT | 2020-02-12 |
| ANNUAL REPORT | 2019-03-10 |
| ANNUAL REPORT | 2018-02-09 |
| ANNUAL REPORT | 2017-04-27 |
| ANNUAL REPORT | 2016-04-27 |
| Domestic Profit | 2015-07-13 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
