| Entity Name: | PAIN MANAGEMENT ASSOCIATES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 20 Jul 2006 (19 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 11 Feb 2020 (5 years ago) |
| Document Number: | L06000072190 |
| FEI/EIN Number | 205242561 |
| Address: | 2400 DUNDEE RD, WINTER HAVEN, FL, 33884 |
| Mail Address: | 2400 DUNDEE RD, WINTER HAVEN, FL, 33884 |
| ZIP code: | 33884 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093862062 | 2007-01-04 | 2020-08-22 | PO BOX 864164, ORLANDO, FL, 328864164, US | 2400 DUNDEE RD, WINTER HAVEN, FL, 338841166, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 352-867-8898 |
| Fax | 3527326282 |
Authorized person
| Name | JORGE R VILLARREAL |
| Role | MANAGING MBR |
| Phone | 8632991231 |
Taxonomy
| Taxonomy Code | 207LP2900X - Pain Medicine (Anesthesiology) Physician |
| License Number | ME0054730 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| VILLARREAL JORGE R | Agent | 2400 DUNDEE RD, WINTER HAVEN, FL, 33884 |
| Name | Role | Address |
|---|---|---|
| VILLARREAL JORGE R | President | 2400 DUNDEE RD, WINTER HAVEN, FL, 33884 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2020-02-11 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-02-23 | VILLARREAL, JORGE R | No data |
| REINSTATEMENT | 2017-02-23 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-08-22 | 2400 DUNDEE RD, WINTER HAVEN, FL 33884 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-08-22 | 2400 DUNDEE RD, WINTER HAVEN, FL 33884 | No data |
| CHANGE OF MAILING ADDRESS | 2007-08-22 | 2400 DUNDEE RD, WINTER HAVEN, FL 33884 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-02 |
| ANNUAL REPORT | 2023-01-22 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-01-30 |
| REINSTATEMENT | 2020-02-11 |
| REINSTATEMENT | 2017-02-23 |
| ANNUAL REPORT | 2015-01-13 |
| ANNUAL REPORT | 2014-01-08 |
| ANNUAL REPORT | 2013-03-16 |
| ANNUAL REPORT | 2012-01-04 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
