| Entity Name: | SOUTHEAST FLORIDA PAIN MANAGEMENT LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 02 Aug 2007 (18 years ago) |
| Date of dissolution: | 01 Oct 2015 (9 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 01 Oct 2015 (9 years ago) |
| Document Number: | L07000079436 |
| FEI/EIN Number | 223967140 |
| Address: | 41 E COMMERCIAL BLVD, FT LAUDERDALE, FL, 33334 |
| Mail Address: | 41 E COMMERCIAL BLVD, FT LAUDERDALE, FL, 33334 |
| ZIP code: | 33334 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518276633 | 2010-10-07 | 2010-10-07 | 517 NORTHLAKE BLVD, NORTH PALM BEACH, FL, 334085408, US | 517 NORTHLAKE BLVD, NORTH PALM BEACH, FL, 334085408, US | |||||||||||||||||||
|
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| Phone | +1 561-844-4400 |
| Fax | 5618447444 |
Authorized person
| Name | MR. DAVID M CARPENTER |
| Role | PRESIDENT |
| Phone | 9546617580 |
Taxonomy
| Taxonomy Code | 208VP0000X - Pain Medicine Physician |
| License Number | HCC8586 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CARPENTER DAVID M | Agent | 41 E COMMERCIAL BLVD, FT LAUDERDALE, FL, 33334 |
| Name | Role | Address |
|---|---|---|
| CARPENTER DAVID M | President | 41 E COMMERCIAL BLVD, FT LAUDERDALE, FL, 33334 |
| Name | Role | Address |
|---|---|---|
| CARPENTER DAVID M | Secretary | 41 E COMMERCIAL BLVD, FT LAUDERDALE, FL, 33334 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G09000132447 | BOYNTON BEACH PAIN MANAGEMENT | EXPIRED | 2009-07-08 | 2014-12-31 | No data | 41 E COMMERCIAL BLVD, FORT LAUDERDALE, FL, 33334 |
| G09000132439 | FORT MYERS PAIN URGENT CARE | EXPIRED | 2009-07-08 | 2014-12-31 | No data | 41 E COMMERCIAL BLVD, FORT LAUDERDALE, FL, 33334 |
| G09000132444 | PALM BEACH PAIN AND URGENT CARE | EXPIRED | 2009-07-08 | 2014-12-31 | No data | 41 E COMMERCIAL BLVD, FORT LAUDERDALE, FL, 33334 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2015-10-01 | No data | No data |
| CANCEL ADM DISS/REV | 2009-06-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2009-06-23 | CARPENTER, DAVID M | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-06-23 | 41 E COMMERCIAL BLVD, FT LAUDERDALE, FL 33334 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J16000756068 | ACTIVE | 1000000727369 | BROWARD | 2016-11-18 | 2026-11-23 | $ 2,809.31 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200, CORAL SPRINGS FL330654149 |
| J13000206350 | TERMINATED | 1000000440909 | BROWARD | 2013-01-14 | 2023-01-23 | $ 3,272.23 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200, CORAL SPRINGS FL330654149 |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2015-10-01 |
| ANNUAL REPORT | 2015-01-07 |
| ANNUAL REPORT | 2014-03-20 |
| ANNUAL REPORT | 2013-04-30 |
| ANNUAL REPORT | 2012-08-27 |
| ANNUAL REPORT | 2011-01-05 |
| ANNUAL REPORT | 2010-03-30 |
| REINSTATEMENT | 2009-06-23 |
| Florida Limited Liability | 2007-08-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
