| Entity Name: | INSTITUTE OF INTERVENTIONAL PAIN MANAGEMENT, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 15 Jun 1989 (36 years ago) |
| Document Number: | K95697 |
| FEI/EIN Number | 592950096 |
| Address: | 11319 CORTEZ BLVD., BROOKSVILLE, FL, 34613 |
| Mail Address: | 11319 CORTEZ BLVD., BROOKSVILLE, FL, 34613 |
| ZIP code: | 34613 |
| County: | Hernando |
| Place of Formation: | FLORIDA |
| Name | Role |
|---|---|
| FARHAN SIDDIQI, MD PA | Agent |
| Name | Role | Address |
|---|---|---|
| Wijnmaalen Johannes Dr. | Director | 11319 CORTEZ BLVD, BROOKSVILLE, FL, 34613 |
| Siddiqi Farhan Dr. | Director | 13119 Cortez Blvd, Brooksville, FL, 34613 |
| Name | Role | Address |
|---|---|---|
| Wijnmaalen Johannes Dr. | President | 11319 CORTEZ BLVD, BROOKSVILLE, FL, 34613 |
| Name | Role | Address |
|---|---|---|
| Wijnmaalen Johannes Dr. | Treasurer | 11319 CORTEZ BLVD, BROOKSVILLE, FL, 34613 |
| Name | Role | Address |
|---|---|---|
| Siddiqi Farhan Dr. | Manager | 13119 Cortez Blvd, Brooksville, FL, 34613 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-12-18 | No data | WITH NOTICE |
| NAME CHANGE AMENDMENT | 2005-12-05 | INSTITUTE OF INTERVENTIONAL PAIN MANAGEMENT, P.A. | No data |
| NAME CHANGE AMENDMENT | 1994-12-27 | WEST FLORIDA ANESTHESIA, P.A. | No data |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
