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  5. INTERVENTIONAL PAIN PHYSICIANS, LLC

INTERVENTIONAL PAIN PHYSICIANS, LLC

Company Details

Entity Name: INTERVENTIONAL PAIN PHYSICIANS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 11 Dec 2007 (17 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 11 Mar 2008 (17 years ago)
Document Number: L07000123048
FEI/EIN Number 261556422
Address: 5304 Main Street, NEW PORT RICHEY, FL, 34652, US
Mail Address: 5304 Main Street, NEW PORT RICHEY, FL, 34652, US
ZIP code: 34652
County: Pasco
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1952687014 2011-11-02 2011-11-02 P O BOX 158, LUTZ, FL, 33548, US 5651 GULF DR, NEW PORT RICHEY, FL, 346524019, US

Contacts
Phone +1 352-212-5567

Authorized person
Name LI MA
Role MEMBER
Phone 3522125567

Taxonomy
Taxonomy Code 207L00000X - Anesthesiology Physician
Is Primary No
Taxonomy Code 208VP0000X - Pain Medicine Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
INTERVENTIONAL PAIN PHYSICIANS, LLC PROFIT SHARING PLAN 2019 261556422 2020-10-14 INTERVENTIONAL PAIN PHYSICIANS, LLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 7275978430
Plan sponsor’s address 5304 MAIN STREET, NEW PORT RICHEY, FL, 34652
INTERVENTIONAL PAIN PHYSICIANS, LLC DEFINED BENEFIT PENSION PLAN 2019 261556422 2020-10-14 INTERVENTIONAL PAIN PHYSICIANS, LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 7275978430
Plan sponsor’s address 5304 MAIN STREET, NEW PORT RICHEY, FL, 34652
INTERVENTIONAL PAIN PHYSICIANS, LLC DEFINED BENEFIT PENSION PLAN 2018 261556422 2019-10-11 INTERVENTIONAL PAIN PHYSICIANS, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 7275978430
Plan sponsor’s address 5304 MAIN STREET, NEW PORT RICHEY, FL, 34652
INTERVENTIONAL PAIN PHYSICIANS, LLC PROFIT SHARING PLAN 2018 261556422 2019-10-11 INTERVENTIONAL PAIN PHYSICIANS, LLC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 7275978430
Plan sponsor’s address 5304 MAIN STREET, NEW PORT RICHEY, FL, 34652
INTERVENTIONAL PAIN PHYSICIANS, LLC DEFINED BENEFIT PENSION PLAN 2017 261556422 2018-10-11 INTERVENTIONAL PAIN PHYSICIANS, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 7275978430
Plan sponsor’s address 5304 MAIN STREET, NEW PORT RICHEY, FL, 34652
INTERVENTIONAL PAIN PHYSICIANS, LLC PROFIT SHARING PLAN 2017 261556422 2018-10-11 INTERVENTIONAL PAIN PHYSICIANS, LLC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 7275978430
Plan sponsor’s address 5304 MAIN STREET, NEW PORT RICHEY, FL, 34652
INTERVENTIONAL PAIN PHYSICIANS, LLC DEFINED BENEFIT PENSION PLAN 2016 261556422 2018-01-29 INTERVENTIONAL PAIN PHYSICIANS, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 7275978430
Plan sponsor’s address 5304 MAIN STREET, NEW PORT RICHEY, FL, 34652
INTERVENTIONAL PAIN PHYSICIANS, LLC PROFIT SHARING PLAN 2016 261556422 2018-01-29 INTERVENTIONAL PAIN PHYSICIANS, LLC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 7275978430
Plan sponsor’s address 5304 MAIN STREET, NEW PORT RICHEY, FL, 34652
INTERVENTIONAL PAIN PHYSICIANS, LLC DEFINED BENEFIT PENSION PLAN 2016 261556422 2018-01-29 INTERVENTIONAL PAIN PHYSICIANS, LLC 4
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 7275978430
Plan sponsor’s address 5304 MAIN STREET, NEW PORT RICHEY, FL, 34652
INTERVENTIONAL PAIN PHYSICIANS, LLC DEFINED BENEFIT PENSION PLAN 2015 261556422 2016-10-13 INTERVENTIONAL PAIN PHYSICIANS, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 7275978430
Plan sponsor’s address 5304 MAIN STREET, NEW PORT RICHEY, FL, 34652

Agent

Name Role Address
Li Ma Agent 5304 Main Street, NEW PORT RICHEY, FL, 34652

Managing Member

Name Role Address
MA LI Managing Member 5304 Main Street, NEW PORT RICHEY, FL, 34652

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000018434 MLZ GLOBAL INSTITUTE OF MEDICAL SCIENCE & HUMANITY EXPIRED 2019-02-05 2024-12-31 No data 5304 MAIN STREET, NEW PORT RICHEY, FL, 34652

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2017-02-27 5304 Main Street, NEW PORT RICHEY, FL 34652 No data
REGISTERED AGENT NAME CHANGED 2017-02-27 Li , Ma No data
REGISTERED AGENT ADDRESS CHANGED 2017-02-27 5304 Main Street, NEW PORT RICHEY, FL 34652 No data
CHANGE OF PRINCIPAL ADDRESS 2014-09-08 5304 Main Street, NEW PORT RICHEY, FL 34652 No data
LC AMENDMENT 2008-03-11 No data No data
LC AMENDMENT 2008-03-07 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-14
ANNUAL REPORT 2023-02-03
ANNUAL REPORT 2022-03-04
ANNUAL REPORT 2021-02-16
ANNUAL REPORT 2020-03-12
ANNUAL REPORT 2019-02-05
ANNUAL REPORT 2018-01-03
ANNUAL REPORT 2017-02-27
ANNUAL REPORT 2016-04-25
ANNUAL REPORT 2015-04-29

Related by officers

MA LI

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Related by address

5304 Main Street, NEW PORT RICHEY, FL, 34652, US

GULF DRIVE, LLC

5304 Main Street, NEW PORT RICHEY, FL, 34652, US

GULF DRIVE, LLC

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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