| Entity Name: | GULF COAST PAIN MANAGEMENT PHYSICIANS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
GULF COAST PAIN MANAGEMENT PHYSICIANS, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 29 Oct 2007 (18 years ago) |
| Date of dissolution: | 23 Sep 2011 (14 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2011 (14 years ago) |
| Document Number: | L07000109383 |
| FEI/EIN Number |
261434326
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 3890 TAMPA ROAD, SUITE 308, PALM HARBOR, FL, 34684 |
| Mail Address: | 3890 TAMPA ROAD, SUITE 308, PALM HARBOR, FL, 34684 |
| ZIP code: | 34684 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881877538 | 2007-12-17 | 2007-12-17 | 3890 TAMPA RD, SUITE 308, PALM HARBOR, FL, 346843676, US | 3890 TAMPA RD, SUITE 308, PALM HARBOR, FL, 346843676, US | |||||||||||||||||||||
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| Phone | +1 727-789-0891 |
| Fax | 7277891570 |
Authorized person
| Name | DR. JAN DUVOISIN |
| Role | PHYSICIAN |
| Phone | 7277890891 |
Taxonomy
| Taxonomy Code | 208VP0014X - Interventional Pain Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 99061 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| COLUMBUS LYNNE C | President | 3890 TAMPA RD STE 308, PALM HARBOR, FL, 34684 |
| AEBEL ERIN | Agent | SHUMAKER, LOOP & KENDRICK, LLP, TAMPA, FL, 33602 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2010-03-30 |
| ANNUAL REPORT | 2009-04-08 |
| ANNUAL REPORT | 2008-05-01 |
| Florida Limited Liability | 2007-10-29 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
