| Entity Name: | IPS OF FT. MYERS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 26 Nov 2008 (16 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | L08000109674 |
| FEI/EIN Number | 26-3779252 |
| Mail Address: | 5700 MIDNIGHT PASS ROAD, SUITE 4, SARASOTA, FL 34242 |
| Address: | 8255 COLLEGE PKWY, SUITE 100, FT. MYERS, FL 33919-5119 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558506303 | 2008-12-09 | 2011-10-11 | 5700 MIDNIGHT PASS RD, ST. 4, SARASOTA, FL, 342423083, US | 8255 COLLEGE PKWY, ST 100, FORT MYERS, FL, 339195119, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 888-337-3509 |
| Fax | 9413283997 |
Authorized person
| Name | CARL R NOBACK |
| Role | MEMBER |
| Phone | 9413601566 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| Is Primary | No |
| Taxonomy Code | 207LP2900X - Pain Medicine (Anesthesiology) Physician |
| Is Primary | Yes |
| Taxonomy Code | 367500000X - Certified Registered Nurse Anesthetist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| NOBACK, CARL RMD | Agent | 5700 MIDNIGHT PASS RD, STE 4, SARASOTA, FL 34242 |
| Name | Role |
|---|---|
| ADVANCED PAIN MANAGEMENT SPECIALISTS, P.A. | Other |
| Name | Role |
|---|---|
| INNOVATIVE PAIN SOLUTIONS, LLC | Manager |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2011-03-24 | NOBACK, CARL RMD | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-03-24 | 5700 MIDNIGHT PASS RD, STE 4, SARASOTA, FL 34242 | No data |
| CHANGE OF MAILING ADDRESS | 2010-04-21 | 8255 COLLEGE PKWY, SUITE 100, FT. MYERS, FL 33919-5119 | No data |
| LC AMENDMENT | 2010-02-01 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-05-21 | 8255 COLLEGE PKWY, SUITE 100, FT. MYERS, FL 33919-5119 | No data |
| LC AMENDMENT | 2009-05-21 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-04-17 |
| ANNUAL REPORT | 2013-03-25 |
| ANNUAL REPORT | 2012-03-29 |
| ANNUAL REPORT | 2011-03-24 |
| ANNUAL REPORT | 2010-04-21 |
| LC Amendment | 2010-02-01 |
| Reg. Agent Change | 2009-05-29 |
| LC Amendment | 2009-05-21 |
| ANNUAL REPORT | 2009-04-22 |
| Florida Limited Liability | 2008-11-26 |
Date of last update: 26 Jan 2025
Sources: Florida Department of State
