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NEUROSPORT ELITE, PA

Company Details

Entity Name: NEUROSPORT ELITE, PA
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 21 Jul 2015 (10 years ago)
Last Event: AMENDMENT
Event Date Filed: 02 Sep 2021 (3 years ago)
Document Number: P15000062071
FEI/EIN Number 47-4615701
Address: 2750 Glades Circle, Suite 100, STE 100, Weston, FL 33327
Mail Address: 8958 W. State Rd. 84, #146, Davie, FL 33324
ZIP code: 33327
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1932572526 2015-11-05 2015-11-05 10650 W STATE ROAD 84, SUITE 111, DAVIE, FL, 333244235, US 10650 W STATE ROAD 84, SUITE 111, DAVIE, FL, 333244235, US

Contacts

Phone +1 954-800-5017
Fax 9547961491

Authorized person

Name DR. JEFFREY ALAN LEWIN
Role VICE PRESIDENT
Phone 9542053479

Taxonomy

Taxonomy Code 111NS0005X - Sports Physician Chiropractor
License Number CH5188
State FL
Is Primary Yes
Taxonomy Code 111NS0005X - Sports Physician Chiropractor
License Number CH6275
State FL
Is Primary No

Agent

Name Role Address
BARON, SPENCER, DR Agent 8958 W. State Rd. 84, #146, #146, Davie, FL 33324

President

Name Role Address
Baron, Spencer H President 8958 W. State Rd. 84, #146 Davie, FL 33324

Vice President

Name Role Address
BARON, HUNTER Neil Vice President 4968 LEEWARD LANE, FORT LAUDERDALE, FL 33312

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G16000098793 TOTAL PERFORMANCE CHIROPRACTIC EXPIRED 2016-09-09 2021-12-31 No data 8930 W. STATE ROAD 84, 146, DAVIE, FL, 33324

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2023-02-05 8958 W. State Rd. 84, #146, #146, Davie, FL 33324 No data
CHANGE OF PRINCIPAL ADDRESS 2023-02-05 2750 Glades Circle, Suite 100, STE 100, Weston, FL 33327 No data
CHANGE OF MAILING ADDRESS 2023-02-05 2750 Glades Circle, Suite 100, STE 100, Weston, FL 33327 No data
AMENDMENT 2021-09-02 No data No data
REGISTERED AGENT NAME CHANGED 2020-04-02 BARON, SPENCER, DR No data
REINSTATEMENT 2020-04-02 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 No data No data
AMENDMENT 2016-10-20 No data No data

Documents

Name Date
ANNUAL REPORT 2025-02-13
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-02-05
ANNUAL REPORT 2022-02-03
Amendment 2021-09-02
ANNUAL REPORT 2021-04-08
REINSTATEMENT 2020-04-02
ANNUAL REPORT 2017-04-30
Amendment 2016-10-20
ANNUAL REPORT 2016-04-25

Date of last update: 20 Feb 2025

Sources: Florida Department of State