| Entity Name: | NEUROLOGY & MOVEMENT DISORDERS HEALTHCARE, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 27 Jan 2021 (4 years ago) |
| Document Number: | P21000010798 |
| FEI/EIN Number | 86-1299541 |
| Mail Address: | 1432 Lake Florence Way, Winter Park, FL, 32792, US |
| Address: | 1432 Lake Florence Way, Winter Park, Winter Park, FL, 32792, US |
| ZIP code: | 32792 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659964104 | 2021-02-16 | 2021-02-23 | 2291 GLENWOOD DR, WINTER PARK, FL, 327923311, US | 2291 GLENWOOD DR, WINTER PARK, FL, 327923311, US | |||||||||||||||
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| Phone | +1 407-627-1325 |
| Fax | 4077341052 |
Authorized person
| Name | SHEILA BAEZ-TORRES |
| Role | NEUROLOGIST |
| Phone | 7863255910 |
Taxonomy
| Taxonomy Code | 2084N0400X - Neurology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BAEZ-TORRES SHEILA | Agent | 1432 LAKE FLORENCE WAY, WINTER PARK, FL, 32792 |
| Name | Role | Address |
|---|---|---|
| BAEZ-TORRES SHEILA | President | 1432 LAKE FLORENCE WAY, WINTER PARK, FL, 32792 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-08 | 1432 Lake Florence Way, Winter Park, Winter Park, FL 32792 | No data |
| CHANGE OF MAILING ADDRESS | 2023-03-12 | 1432 Lake Florence Way, Winter Park, Winter Park, FL 32792 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-08 |
| ANNUAL REPORT | 2023-03-12 |
| ANNUAL REPORT | 2022-04-11 |
| Domestic Profit | 2021-01-27 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
