| Entity Name: | SUNLAKE PAIN MANAGEMENT, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 20 Nov 2008 (16 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 26 Oct 2017 (7 years ago) |
| Document Number: | L08000108144 |
| FEI/EIN Number | 263749820 |
| Address: | 4704 N ARMENIA AVE, TAMPA, FL, 33603, US |
| Mail Address: | 4704 N ARMENIA AVE, TAMPA, FL, 33603, US |
| ZIP code: | 33603 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114153483 | 2009-06-01 | 2010-04-01 | 18964 DALE MABRY HWY N, STE 101, LUTZ, FL, 335484913, US | 18964 DALE MABRY HWY N, STE 101, LUTZ, FL, 335484913, US | |||||||||||||||||||
|
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| Phone | +1 813-948-2107 |
| Fax | 8139482790 |
Authorized person
| Name | DR. LUIS A. LOGRONO |
| Role | MEDICAL DIRECTOR |
| Phone | 8139482107 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | HCC8458 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LOGRONO LUIS M | Agent | 4704 N ARMENIA AVE, TAMPA, FL, 33603 |
| Name | Role | Address |
|---|---|---|
| LOGRONO LUIS AMD | Manager | 4704 N ARMENIA AVENUE, TAMPA, FL, 33603 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G09000104034 | SUNLAKE MEDICAL ASSOCIATES | EXPIRED | 2009-05-05 | 2014-12-31 | No data | 18964 N. DALE MABRY HWY., SUITE 101, LUTZ, FL, 33548 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2017-10-26 | LOGRONO, LUIS M.D. | No data |
| REINSTATEMENT | 2017-10-26 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| LC AMENDMENT | 2015-12-30 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2015-12-30 | 4704 N ARMENIA AVE, TAMPA, FL 33603 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-12-30 | 4704 N ARMENIA AVE, TAMPA, FL 33603 | No data |
| LC AMENDMENT | 2015-11-19 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-10-08 | 4704 N ARMENIA AVE, TAMPA, FL 33603 | No data |
| LC AMENDMENT | 2009-10-08 | No data | No data |
| LC ARTICLE OF CORRECTION | 2008-11-26 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-03-05 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-01-28 |
| ANNUAL REPORT | 2020-01-18 |
| ANNUAL REPORT | 2019-04-03 |
| ANNUAL REPORT | 2018-03-21 |
| REINSTATEMENT | 2017-10-26 |
| ANNUAL REPORT | 2016-01-25 |
| LC Amendment | 2015-12-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
