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  5. NEUROPHYSIOLOGY CENTER, P.A.

NEUROPHYSIOLOGY CENTER, P.A.

Company Details

Entity Name: NEUROPHYSIOLOGY CENTER, P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 10 Dec 1990 (34 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 14 Oct 2019 (5 years ago)
Document Number: S17950
FEI/EIN Number 65-0238206
Address: 4102 n mcdill ave, suite a, tampa, FL 33607
Mail Address: 4102 n mcdill ave, suite a, tampa, FL 33607
ZIP code: 33607
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1609995489 2007-03-29 2020-08-22 401 N PARSONS AVE, SUITE 105, BRANDON, FL, 335104538, US 401 N PARSONS AVE, SUITE 105, BRANDON, FL, 335104538, US

Contacts
Phone +1 813-653-2775
Fax 8136534521

Authorized person
Name LAURIE LUCAS
Role BILLING COORDINATOR
Phone 8136532775

Taxonomy
Taxonomy Code 174400000X - Specialist
License Number ME0043683
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NEUROPHYSIOLOGY CENTER, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2023 650238206 2024-06-25 NEUROPHYSIOLOGY CENTER, P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-05-01
Business code 621111
Sponsor’s telephone number 8132409759
Plan sponsor’s address 4102 N. MCDILL AVENUE, SUITE A, TAMPA, FL, 33607
NEUROPHYSIOLOGY CENTER, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2022 650238206 2023-08-11 NEUROPHYSIOLOGY CENTER, P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-05-01
Business code 621111
Sponsor’s telephone number 8132409759
Plan sponsor’s address 4102 N. MCDILL AVENUE, SUITE A, TAMPA, FL, 33607
NEUROPHYSIOLOGY CENTER, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2021 650238206 2022-09-27 NEUROPHYSIOLOGY CENTER, P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-05-01
Business code 621111
Sponsor’s telephone number 8132409759
Plan sponsor’s address 4102 N. MCDILL AVENUE, SUITE A, TAMPA, FL, 33607
NEUROPHYSIOLOGY CENTER, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2020 650238206 2021-08-17 NEUROPHYSIOLOGY CENTER, P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-05-01
Business code 621111
Sponsor’s telephone number 8132409759
Plan sponsor’s address 4102 N. MCDILL AVENUE, SUITE A, TAMPA, FL, 33607
NEUROPHYSIOLOGY CENTER, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2019 650238206 2020-08-17 NEUROPHYSIOLOGY CENTER, P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-05-01
Business code 621111
Sponsor’s telephone number 8132409759
Plan sponsor’s address 4102 N. MCDILL AVENUE, SUITE A, TAMPA, FL, 33607
NEUROPHYSIOLOGY CENTER, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2018 650238206 2019-09-10 NEUROPHYSIOLOGY CENTER, P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-05-01
Business code 621111
Sponsor’s telephone number 8136532775
Plan sponsor’s address 401 NORTH PARSONS STREET, SUITE 105, BRANDON, FL, 335104538
NEUROPHYSIOLOGY CENTER, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2017 650238206 2018-10-08 NEUROPHYSIOLOGY CENTER, P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-05-01
Business code 621111
Sponsor’s telephone number 8136532775
Plan sponsor’s address 401 NORTH PARSONS STREET, SUITE 105, BRANDON, FL, 335104538
NEUROPHYSIOLOGY CENTER, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2016 650238206 2017-09-22 NEUROPHYSIOLOGY CENTER, P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-05-01
Business code 621111
Sponsor’s telephone number 8136532775
Plan sponsor’s address 401 NORTH PARSONS STREET, SUITE 105, BRANDON, FL, 335104538

Signature of
Role Plan administrator
Date 2017-09-22
Name of individual signing RAFAEL M. RODRIGUEZ
Valid signature Filed with authorized/valid electronic signature
NEUROPHYSIOLOGY CENTER, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2015 650238206 2016-07-14 NEUROPHYSIOLOGY CENTER, P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-05-01
Business code 621111
Sponsor’s telephone number 8136532775
Plan sponsor’s address 401 NORTH PARSONS STREET, SUITE 105, BRANDON, FL, 335104538

Signature of
Role Plan administrator
Date 2016-07-14
Name of individual signing RAFAEL M. RODRIGUEZ
Valid signature Filed with authorized/valid electronic signature
NEUROPHYSIOLOGY CENTER, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2014 650238206 2015-10-07 NEUROPHYSIOLOGY CENTER, P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-05-01
Business code 621111
Sponsor’s telephone number 8136532775
Plan sponsor’s address 401 NORTH PARSONS STREET, SUITE 105, BRANDON, FL, 335104538

Signature of
Role Plan administrator
Date 2015-10-07
Name of individual signing RAFAEL M. RODRIGUEZ
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
RODRIGUEZ, RAFAEL M, Dr. Agent 401 NORTH PARSONS AVE., SUITE 105, BRANDON, FL 33510

President

Name Role Address
RODRIGUEZ, rafael M President 4102 N MAC DILL AVE SUITEA, TAMPA, FL 33607

Events

Event Type Filed Date Value Description
REINSTATEMENT 2019-10-14 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 No data No data
CHANGE OF PRINCIPAL ADDRESS 2018-03-16 4102 n mcdill ave, suite a, tampa, FL 33607 No data
CHANGE OF MAILING ADDRESS 2018-03-16 4102 n mcdill ave, suite a, tampa, FL 33607 No data
REGISTERED AGENT ADDRESS CHANGED 2014-02-26 401 NORTH PARSONS AVE., SUITE 105, BRANDON, FL 33510 No data
REGISTERED AGENT NAME CHANGED 2013-03-03 RODRIGUEZ, RAFAEL M, Dr. No data

Documents

Name Date
ANNUAL REPORT 2024-03-07
ANNUAL REPORT 2023-02-10
ANNUAL REPORT 2022-03-13
ANNUAL REPORT 2021-02-22
ANNUAL REPORT 2020-01-22
REINSTATEMENT 2019-10-14
ANNUAL REPORT 2018-03-16
ANNUAL REPORT 2017-03-23
ANNUAL REPORT 2016-03-22
ANNUAL REPORT 2015-03-03

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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