| Entity Name: | NATIONAL NEURODIAGNOSTIC TECHNOLOGIES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 24 Feb 1992 (33 years ago) |
| Document Number: | V16617 |
| FEI/EIN Number | 59-3111103 |
| Mail Address: | PO BOX 1450, ORANGE PARK, FL 32067 |
| Address: | 1895 KINGSLEY AVE., STE 1005, ORANGE PARK, FL 32073 |
| ZIP code: | 32073 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427101658 | 2007-01-19 | 2008-09-26 | PO BOX 1450, ORANGE PARK, FL, 320671450, US | 1895 KINGSLEY AVE, SUITE 1005, ORANGE PARK, FL, 320734466, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 904-737-5792 |
| Fax | 9047376541 |
Authorized person
| Name | MR. AURELIO A. MUZAURIETA JR. |
| Role | PRESIDENT/TECHNICAL DIRECTOR |
| Phone | 9047375792 |
Taxonomy
| Taxonomy Code | 2084N0600X - Clinical Neurophysiology Physician |
| Is Primary | No |
| Taxonomy Code | 231H00000X - Audiologist |
| Is Primary | No |
| Taxonomy Code | 246ZE0600X - Electroneurodiagnostic Specialist/Technologist |
| Is Primary | No |
| Taxonomy Code | 2471V0105X - Vascular Sonography Radiologic Technologist |
| Is Primary | No |
| Taxonomy Code | 293D00000X - Physiological Laboratory |
| License Number | HCC4403 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MUZAURIETA, AURELIO A | Agent | 2221 SEGOVIA AVE, JACKSONVILLE, FL 32217 |
| Name | Role | Address |
|---|---|---|
| MUZAURIETA, AURELIO A | President | 2221 SEGOVIA AVE, JACKSONVILLE, FL 32217 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000099671 | NEURODIAGNOSTIC TECHNOLOGIES | ACTIVE | 2011-10-10 | 2026-12-31 | No data | 2221 SEGOVIA AVENUE, ORANGE PARK MEDICAL PLAZA II SUITE 1005, JACKSONVILLE, FL, 32217 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-03-23 | 1895 KINGSLEY AVE., STE 1005, ORANGE PARK, FL 32073 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2001-02-01 | 2221 SEGOVIA AVE, JACKSONVILLE, FL 32217 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2000-04-12 | 1895 KINGSLEY AVE., STE 1005, ORANGE PARK, FL 32073 | No data |
| REGISTERED AGENT NAME CHANGED | 1999-03-01 | MUZAURIETA, AURELIO A | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-29 |
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-06-29 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-04-28 |
| ANNUAL REPORT | 2017-04-30 |
| ANNUAL REPORT | 2016-04-26 |
| ANNUAL REPORT | 2015-05-11 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
