| Entity Name: | BAYCARE PAIN ASSOCIATES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 16 Dec 2002 (22 years ago) |
| Date of dissolution: | 25 Sep 2009 (15 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2009 (15 years ago) |
| Document Number: | L02000033761 |
| FEI/EIN Number | 753090406 |
| Address: | 7050 GALL BLVD., ZEPHYRHILLS, FL, 33541 |
| Mail Address: | P.O. BOX 1204, OLDSMAR, FL, 34677 |
| ZIP code: | 33541 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194743021 | 2006-07-18 | 2020-08-22 | PO BOX 550600, TAMPA, FL, 336550600, US | 7050 GALL BLVD, ZEPHYRHILLS, FL, 335411347, US | |||||||||||||||||||||||||
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| Phone | +1 352-867-8898 |
| Fax | 3527326282 |
Authorized person
| Name | PAULA BELLINO |
| Role | CRNA/PRESIDENT |
| Phone | 3528678898 |
Taxonomy
| Taxonomy Code | 207LP2900X - Pain Medicine (Anesthesiology) Physician |
| Is Primary | No |
| Taxonomy Code | 367500000X - Certified Registered Nurse Anesthetist |
| Is Primary | No |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 34766 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BELLINO PAULA M | Agent | 12016 WANDSWORTH DR., TAMPA, FL, 33626 |
| Name | Role | Address |
|---|---|---|
| BELLINO PAULA M | Manager | 12016 WANDSWORTH DR., TAMPA, FL, 33626 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2005-04-29 | 7050 GALL BLVD., ZEPHYRHILLS, FL 33541 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2008-01-24 |
| ANNUAL REPORT | 2007-03-12 |
| ANNUAL REPORT | 2006-01-23 |
| ANNUAL REPORT | 2005-04-29 |
| ANNUAL REPORT | 2004-04-16 |
| ANNUAL REPORT | 2003-03-24 |
| Florida Limited Liability | 2002-12-17 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
