| Entity Name: | IPS OF JACKSONVILLE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 26 Nov 2008 (16 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | L08000109670 |
| FEI/EIN Number | 263775538 |
| Address: | 4754 E State Road 64, Bradenton, FL, 34208, US |
| Mail Address: | 4754 E State Road, Bradenton, FL, 34208, US |
| ZIP code: | 34208 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417192022 | 2008-12-10 | 2017-01-10 | PO BOX 864483, ORLANDO, FL, 328864483, US | 4754 E STATE ROAD 64, BRADENTON, FL, 342089058, US | |||||||||||||||||||
|
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| Phone | +1 888-337-3509 |
| Fax | 9413283997 |
Authorized person
| Name | CARL R NOBACK |
| Role | MEMBER |
| Phone | 9413601566 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| License Number | 1176 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| NOBACK CARL R | Agent | 4754 E State Road, Bradenton, FL, 34208 |
| Name | Role |
|---|---|
| INNOVATIVE PAIN SOLUTIONS, LLC | Manager |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-03-24 | 4754 E State Road 64, Bradenton, FL 34208 | No data |
| CHANGE OF MAILING ADDRESS | 2015-04-20 | 4754 E State Road 64, Bradenton, FL 34208 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-04-20 | 4754 E State Road, Bradenton, FL 34208 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-02-25 |
| ANNUAL REPORT | 2019-02-25 |
| ANNUAL REPORT | 2018-03-23 |
| ANNUAL REPORT | 2017-04-18 |
| ANNUAL REPORT | 2016-03-24 |
| ANNUAL REPORT | 2015-04-20 |
| ANNUAL REPORT | 2014-04-17 |
| ANNUAL REPORT | 2013-03-25 |
| ANNUAL REPORT | 2012-03-29 |
| ANNUAL REPORT | 2011-03-24 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
