| Entity Name: | TREASURE COAST NEUROLOGY INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 19 Feb 2019 (6 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | P19000016452 |
| FEI/EIN Number | 83-3782713 |
| Address: | 2401 FRIST BOULEVARD, FORT PIERCE, FL, 34950, US |
| Mail Address: | 2401 FRIST BOULEVARD, FORT PIERCE, FL, 34950, US |
| ZIP code: | 34950 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760004501 | 2020-05-14 | 2020-05-15 | 2401 FRIST BLVD STE 2B, FORT PIERCE, FL, 349504800, US | 2401 FRIST BLVD STE 2B, FORT PIERCE, FL, 349504800, US | |||||||||||||||||
|
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| Phone | +1 772-528-1310 |
Authorized person
| Name | RAUL EDUARDO MONTEJO |
| Role | OWNER/NEUROLOGIST |
| Phone | 7725281310 |
Taxonomy
| Taxonomy Code | 2084N0400X - Neurology Physician |
| Is Primary | Yes |
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| MONTEJO RAUL | Agent | 2401 FRIST BOULEVARD, FORT PIERCE, FL, 34950 |
| Name | Role | Address |
|---|---|---|
| MONTEJO RAUL E | President | 2401 FRIST BOULEVARD, FORT PIERCE, FL, 34950 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-06-15 | 2401 FRIST BOULEVARD, SUITE 2B, FORT PIERCE, FL 34950 | No data |
| CHANGE OF MAILING ADDRESS | 2020-06-15 | 2401 FRIST BOULEVARD, SUITE 2B, FORT PIERCE, FL 34950 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-06-15 | 2401 FRIST BOULEVARD, SUITE 2B, FORT PIERCE, FL 34950 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-06-15 |
| Domestic Profit | 2019-02-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
