| Entity Name: | PAIN MANAGEMENT OF TAMPA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 Sep 2008 (16 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 18 Oct 2023 (a year ago) |
| Document Number: | L08000088545 |
| FEI/EIN Number | 208948126 |
| Address: | 2901 W. BUSCH BLVD., #610, TAMPA, FL, 33618, US |
| Mail Address: | 2901 W. BUSCH BLVD., #610, TAMPA, FL, 33618, US |
| ZIP code: | 33618 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952621963 | 2010-06-02 | 2010-06-02 | 2901 W BUSCH BLVD, SUITE #807, TAMPA, FL, 336184523, US | 2901 W BUSCH BLVD, SUITE #807, TAMPA, FL, 336184523, US | |||||||||||||||||||
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| Phone | +1 813-936-9326 |
| Fax | 8139369327 |
Authorized person
| Name | ANDREJS STRAUSS |
| Role | OWNER/MEDICAL DOCTOR |
| Phone | 8139369326 |
Taxonomy
| Taxonomy Code | 261QP3300X - Pain Clinic/Center |
| License Number | PMC371 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PAIN MANAGEMENT OF TAMPA, LLC 410K PROFIT SHARING PLAN & TRUST | 2013 | 208948126 | 2014-01-24 | PAIN MANAGEMENT OF TAMPA, LLC | 2 | |||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2014-01-24 |
| Name of individual signing | ANDREJS V. STRAUSS, M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2008-01-01 |
| Business code | 621399 |
| Sponsor’s telephone number | 8188369326 |
| Plan sponsor’s address | 2901 W BUSCH BLVD STE 807, TAMPA, FL, 33618 |
Plan administrator’s name and address
| Administrator’s EIN | 208948126 |
| Plan administrator’s name | PAIN MANAGEMENT OF TAMPA LLC |
| Plan administrator’s address | 2901 W BUSCH BLVD STE 807, TAMPA, FL, 33618 |
| Administrator’s telephone number | 8188369326 |
Signature of
| Role | Plan administrator |
| Date | 2012-09-19 |
| Name of individual signing | DOMINICK BELLIA |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2008-01-01 |
| Business code | 621399 |
| Sponsor’s telephone number | 8188369326 |
| Plan sponsor’s address | 2901 W BUSCH BLVD STE 807, TAMPA, FL, 33618 |
Plan administrator’s name and address
| Administrator’s EIN | 208948126 |
| Plan administrator’s name | PAIN MANAGEMENT OF TAMPA LLC |
| Plan administrator’s address | 2901 W BUSCH BLVD STE 807, TAMPA, FL, 33618 |
| Administrator’s telephone number | 8188369326 |
Signature of
| Role | Plan administrator |
| Date | 2011-09-23 |
| Name of individual signing | CINDY BOUNDS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| STRAUSS ANDREJS VDr. | Agent | 2901 W. BUSCH BLVD., TAMPA, FL, 33618 |
| Name | Role | Address |
|---|---|---|
| STRAUSS DR. ANDREJS V | Manager | 2901 W. BUSCH BLVD., TAMPA, FL, 33618 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2023-10-18 | No data | No data |
| LC AMENDMENT | 2022-12-22 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-01-28 | STRAUSS, ANDREJS V, Dr. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-02-06 | 2901 W. BUSCH BLVD., #610, TAMPA, FL 33618 | No data |
| CHANGE OF MAILING ADDRESS | 2019-02-06 | 2901 W. BUSCH BLVD., #610, TAMPA, FL 33618 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-02-06 | 2901 W. BUSCH BLVD., # 610, TAMPA, FL 33618 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-09 |
| LC Amendment | 2023-10-18 |
| ANNUAL REPORT | 2023-02-02 |
| LC Amendment | 2022-12-22 |
| AMENDED ANNUAL REPORT | 2022-12-19 |
| ANNUAL REPORT | 2022-01-06 |
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-01-28 |
| ANNUAL REPORT | 2019-02-06 |
| ANNUAL REPORT | 2018-01-16 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2541027209 | 2020-04-16 | 0455 | PPP | 2901 West Busch Blvd Suite 610, Tampa, FL, 33618 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Feb 2025
Sources: Florida Department of State
