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PREMIER PAIN SPECIALISTS, LLC - Florida Company Profile

Company Details

Entity Name: PREMIER PAIN SPECIALISTS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

PREMIER PAIN SPECIALISTS, 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.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 28 Apr 2008 (17 years ago)
Last Event: CONVERSION
Event Date Filed: 28 Apr 2008 (17 years ago)
Document Number: L08000045063
FEI/EIN Number 651144921

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 1228 S.E. 8TH TERRACE, CAPE CORAL, FL, 33990, US
Mail Address: 1228 S.E. 8TH TERRACE, CAPE CORAL, FL, 33990, US
ZIP code: 33990
County: Lee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1962589671 2006-11-01 2021-12-02 1228 SE 8TH TER, CAPE CORAL, FL, 339903210, US 1228 SE 8TH TER, CAPE CORAL, FL, 339903210, US

Contacts

Phone +1 239-945-1105
Fax 2399454495

Authorized person

Name DR. JULES ALVA PREUDHOMME
Role PRESIDENT
Phone 2399451105

Taxonomy

Taxonomy Code 207LP2900X - Pain Medicine (Anesthesiology) Physician
License Number ME72077
State FL
Is Primary Yes

Other Provider Identifiers

Issuer FIRST HEALTH
Number 1132487
State FL
Issuer WORKERS COMPENSATON
Number 0403035
State FL
Issuer ACS
Number 352107800
State FL
Issuer MEDICARE RAILROAD
Number 050085760
State FL
Issuer BLUE CROSS BLUE SHIELD OF
Number 43550
State FL
Issuer BC/BS VIRTUAL
Number 285839
State FL
Issuer AETNA
Number 7040371
State FL
Issuer OXFORD
Number P2816206
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PREMIER PAIN SPECIALISTS, LLC 401(K) PS PLAN 2023 651144921 2024-05-29 PREMIER PAIN SPECIALISTS, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2399451105
Plan sponsor’s address 1228 SE 8TH TERRACE, CAPE CORAL, FL, 33990

Signature of

Role Plan administrator
Date 2024-05-29
Name of individual signing JULES A PREUDHOMME
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-05-29
Name of individual signing JULES A PREUDHOMME
Valid signature Filed with authorized/valid electronic signature
PREMIER PAIN SPECIALISTS, LLC 401(K) PS PLAN 2022 651144921 2023-07-18 PREMIER PAIN SPECIALISTS, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2399451105
Plan sponsor’s address 1228 SE 8TH TERRACE, CAPE CORAL, FL, 33990

Signature of

Role Plan administrator
Date 2023-07-18
Name of individual signing JULES A. PREUDHOMME
Valid signature Filed with authorized/valid electronic signature
PREMIER PAIN SPECIALISTS, LLC 401(K) PS PLAN 2021 651144921 2022-07-08 PREMIER PAIN SPECIALISTS, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2399451105
Plan sponsor’s address 1228 SE 8TH TERRACE, CAPE CORAL, FL, 33990

Signature of

Role Plan administrator
Date 2022-07-08
Name of individual signing JULES A PREUDHOMME
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-08
Name of individual signing JULES A PREUDHOMME
Valid signature Filed with authorized/valid electronic signature
PREMIER PAIN SPECIALISTS, LLC 401(K) PS PLAN 2020 651144921 2021-08-25 PREMIER PAIN SPECIALISTS, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2399451105
Plan sponsor’s address 1228 SE 8TH TERRACE, CAPE CORAL, FL, 33990

Signature of

Role Plan administrator
Date 2021-08-25
Name of individual signing JULES A PREUDHOMME
Valid signature Filed with authorized/valid electronic signature
PREMIER PAIN SPECIALISTS, LLC 401(K) PROFIT SHARING PLAN 2019 651144921 2020-09-21 PREMIER PAIN SPECIALISTS, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2399451105
Plan sponsor’s address 1228 SE 8TH TERRACE, CAPE CORAL, FL, 33990
PREMIER PAIN SPECIALISTS, LLC 401(K) PS PLAN 2019 651144921 2020-09-02 PREMIER PAIN SPECIALISTS, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2399451105
Plan sponsor’s address 1228 SE 8TH TERRACE, CAPE CORAL, FL, 33990

Signature of

Role Plan administrator
Date 2020-09-02
Name of individual signing JULES PREUDHOMME
Valid signature Filed with authorized/valid electronic signature
PREMIER PAIN SPECIALISTS, LLC 401(K) PROFIT SHARING PLAN 2019 651144921 2020-09-21 PREMIER PAIN SPECIALISTS, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2399451105
Plan sponsor’s address 1228 SE 8TH TERRACE, CAPE CORAL, FL, 33990
PREMIER PAIN SPECIALISTS, LLC 401(K) PROFIT SHARING PLAN 2018 651144921 2019-08-13 PREMIER PAIN SPECIALISTS, LLC 5
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2399451105
Plan sponsor’s address 1228 SE 8TH TERRACE, CAPE CORAL, FL, 33990
PREMIER PAIN SPECIALISTS, LLC 401(K) PROFIT SHARING PLAN 2018 651144921 2020-09-21 PREMIER PAIN SPECIALISTS, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2399451105
Plan sponsor’s address 1228 SE 8TH TERRACE, CAPE CORAL, FL, 33990
PREMIER PAIN SPECIALISTS, LLC 401(K) PROFIT SHARING PLAN 2017 651144921 2018-05-30 PREMIER PAIN SPECIALISTS, LLC 5
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2399451105
Plan sponsor’s address 1228 SE 8TH TERRACE, CAPE CORAL, FL, 33990

Key Officers & Management

Name Role Address
PREUDHOMME JULES A Manager 1228 S.E. 8TH TERRACE, CAPE CORAL, FL, 33990
FLAMMING DONNA M Agent 8891 BRIGHTON LANE, BONITA SPRINGS, FL, 34135

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2023-03-14 8891 BRIGHTON LANE, SUITE 112, BONITA SPRINGS, FL 34135 -
CHANGE OF PRINCIPAL ADDRESS 2020-05-01 1228 S.E. 8TH TERRACE, CAPE CORAL, FL 33990 -
CHANGE OF MAILING ADDRESS 2020-05-01 1228 S.E. 8TH TERRACE, CAPE CORAL, FL 33990 -
REGISTERED AGENT NAME CHANGED 2015-04-28 FLAMMING, DONNA M -
CONVERSION 2008-04-28 - CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS P01000098087. CONVERSION NUMBER 300000087373

Documents

Name Date
ANNUAL REPORT 2024-03-05
ANNUAL REPORT 2023-03-14
ANNUAL REPORT 2022-03-11
ANNUAL REPORT 2021-03-23
ANNUAL REPORT 2020-05-01
ANNUAL REPORT 2019-03-21
ANNUAL REPORT 2018-03-13
ANNUAL REPORT 2017-03-16
ANNUAL REPORT 2016-02-29
Reg. Agent Change 2015-04-28

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3805077310 2020-04-29 0455 PPP 1228 SE 8TH TER, CAPE CORAL, FL, 33990-3210
Loan Status Date 2021-03-18
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 46400
Loan Approval Amount (current) 46400
Undisbursed Amount 0
Franchise Name -
Lender Location ID 51009
Servicing Lender Name First-Citizens Bank & Trust Company
Servicing Lender Address 100 E. Tryon Rd DAC - 90, Raleigh, NC, 27603-3581
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description New Business or 2 years or less
Project Address CAPE CORAL, LEE, FL, 33990-3210
Project Congressional District FL-19
Number of Employees 6
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 51009
Originating Lender Name First-Citizens Bank & Trust Company
Originating Lender Address Raleigh, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 46693.41
Forgiveness Paid Date 2021-02-12
4425718605 2021-03-18 0455 PPS 1228 SE 8th Ter, Cape Coral, FL, 33990-3210
Loan Status Date 2021-10-14
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 51900
Loan Approval Amount (current) 51900
Undisbursed Amount 0
Franchise Name -
Lender Location ID 51009
Servicing Lender Name First-Citizens Bank & Trust Company
Servicing Lender Address 100 E. Tryon Rd DAC - 90, Raleigh, NC, 27603-3581
Rural or Urban Indicator U
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address Cape Coral, LEE, FL, 33990-3210
Project Congressional District FL-19
Number of Employees 6
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 51009
Originating Lender Name First-Citizens Bank & Trust Company
Originating Lender Address Raleigh, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 52161.63
Forgiveness Paid Date 2021-09-23

Date of last update: 01 Apr 2025

Sources: Florida Department of State