| Entity Name: | BROAD PAIN CARE CONSULTANTS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 01 Feb 2007 (18 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | L07000012195 |
| FEI/EIN Number | 20-8392944 |
| Address: | 7100 WEST CAMINO REAL, 301, BOCA RATON, FL 33433 |
| Mail Address: | 7100 WEST CAMINO REAL, 301, BOCA RATON, FL 33433 |
| ZIP code: | 33433 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316136963 | 2007-10-19 | 2008-08-14 | 1601 CLINT MOORE RD, SUITE 160, BOCA RATON, FL, 334872768, US | 1601 CLINT MOORE RD, SUITE 160, BOCA RATON, FL, 334872768, US | |||||||||||||
|
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| Phone | +1 561-939-5500 |
Authorized person
| Name | DR. ANDREW ASTROVE |
| Role | DIRECTOR |
| Phone | 5612896555 |
Taxonomy
| Taxonomy Code | 208VP0000X - Pain Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| NORDSTROM, THOMAS | Agent | 7100 WEST CAMINO REAL, 301, BOCA RATON, FL 33433 |
| Name | Role | Address |
|---|---|---|
| ZUCKOFF, PETER | Controller | 7100 WEST CAMINO REAL, STE 301, BOCA RATON, FL 33433 |
| Name | Role | Address |
|---|---|---|
| Nordstrom, Thomas | Chief Financial Officer | 7100 WEST CAMINO REAL, 301, BOCA RATON, FL 33433 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000117864 | RESOLUTE PAIN SOLUTIONS | EXPIRED | 2014-11-24 | 2019-12-31 | No data | 7100 WEST CAMINO REAL, SUITE 301, BOCA RATON, FL, 33433 |
| G14000077701 | RESOLUTE PAIN SOLUTIONS | EXPIRED | 2014-07-28 | 2019-12-31 | No data | 7100 WEST CAMINO REAL, SUITE 301, BOCA RATON, FL, 33433 |
| G11000124776 | BROAD INTERVENTIONAL ANESTHESIA ASSOCIATES | EXPIRED | 2011-12-21 | 2016-12-31 | No data | 501 GLADES ROAD, BOCA RATON, FL, 33432 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| LC AMENDMENT | 2015-01-02 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-01-02 | NORDSTROM, THOMAS | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-01-02 | 7100 WEST CAMINO REAL, 301, BOCA RATON, FL 33433 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-11-26 | 7100 WEST CAMINO REAL, 301, BOCA RATON, FL 33433 | No data |
| CHANGE OF MAILING ADDRESS | 2014-11-26 | 7100 WEST CAMINO REAL, 301, BOCA RATON, FL 33433 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2016-03-22 |
| ANNUAL REPORT | 2016-03-10 |
| ANNUAL REPORT | 2015-04-30 |
| LC Amendment | 2015-01-02 |
| AMENDED ANNUAL REPORT | 2014-06-16 |
| ANNUAL REPORT | 2014-02-09 |
| ANNUAL REPORT | 2013-04-14 |
| ANNUAL REPORT | 2012-05-01 |
| ANNUAL REPORT | 2011-05-04 |
| ANNUAL REPORT | 2010-05-06 |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
