| Entity Name: | PAIN & PHYSICAL MEDICINE CONSULTANTS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 27 Aug 2007 (17 years ago) |
| Document Number: | L07000087823 |
| FEI/EIN Number | 260776978 |
| Address: | 17425 Caravita Lane, Ft Myers, FL, 33913, US |
| Mail Address: | 17425 Caravita Lane, Ft Myers, FL, 33913, US |
| ZIP code: | 33913 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194911321 | 2007-09-21 | 2010-05-26 | PO BOX 368375, BONITA SPRINGS, FL, 341368375, US | 3501 HEALTH CENTER BLVD, SUITE 1300, BONITA SPRINGS, FL, 341358127, US | |||||||||||||||||
|
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| Phone | +1 239-390-9778 |
Authorized person
| Name | DR. ROBERT O'LEARY |
| Role | CEO |
| Phone | 2393909778 |
Taxonomy
| Taxonomy Code | 2081P2900X - Pain Medicine (Physical Medicine & Rehabilitation) Physician |
| License Number | OS9857 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| O'LEARY ROBERT T | Agent | 17425 Caravita Lane, Ft Myers, FL, 33913 |
| Name | Role | Address |
|---|---|---|
| O'LEARY ROBERT T | Manager | 17425 Caravita Lane, Ft Myers, FL, 33913 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-22 | 17425 Caravita Lane, Ft Myers, FL 33913 | No data |
| CHANGE OF MAILING ADDRESS | 2024-01-22 | 17425 Caravita Lane, Ft Myers, FL 33913 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-22 | 17425 Caravita Lane, Ft Myers, FL 33913 | No data |
| REGISTERED AGENT NAME CHANGED | 2008-04-27 | O'LEARY, ROBERT TMGR | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-22 |
| ANNUAL REPORT | 2023-01-18 |
| ANNUAL REPORT | 2022-02-10 |
| ANNUAL REPORT | 2021-02-02 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-02-14 |
| ANNUAL REPORT | 2018-03-07 |
| ANNUAL REPORT | 2017-01-11 |
| ANNUAL REPORT | 2016-01-22 |
| ANNUAL REPORT | 2015-01-13 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
