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PAIN CARE MANAGEMENT OF ORLANDO, LLC

Company Details

Entity Name: PAIN CARE MANAGEMENT OF ORLANDO, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 18 Dec 2008 (16 years ago)
Date of dissolution: 23 Sep 2016 (8 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2016 (8 years ago)
Document Number: L08000115227
FEI/EIN Number 263903630
Mail Address: 5036 DR PHILLIPS BLVD, 337, ORLANDO, FL, 32819, US
Address: 13650 West Colonial Dr., WINTER GARDEN, FL, 34787, US
ZIP code: 34787
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1487964524 2010-10-07 2014-02-13 5036 DR PHILLIPS BLVD, SUITE 337, ORLANDO, FL, 328193310, US 13650 W COLONIAL DR, SUITE 100, WINTER GARDEN, FL, 347873993, US

Contacts

Phone +1 321-251-4462
Fax 8884691872
Phone +1 407-905-0012
Fax 4079054988

Authorized person

Name MR. C R LONG
Role MANAGING MEMBER
Phone 3212514462

Taxonomy

Taxonomy Code 261QP3300X - Pain Clinic/Center
License Number PMC1457
State FL
Is Primary Yes

Agent

Name Role Address
LONG CONNIE R Agent 713 DUFF DR, ORLANDO, FL, 34787

Managing Member

Name Role Address
LONG CONNIE R Managing Member 5036 DR PHILLIPS BLVD, ORLANDO, FL, 32819
LONG ANNA B Managing Member 5036 DR PHILLIPS BLVD, ORLANDO, FL, 32819

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G08358900195 PAIN CARE FIRST EXPIRED 2008-12-23 2013-12-31 No data 1201 WINTER GARDEN VINELAND ROAD, WINTER GARDEN, FL, 32787

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 No data No data
CHANGE OF PRINCIPAL ADDRESS 2014-04-27 13650 West Colonial Dr., 100, WINTER GARDEN, FL 34787 No data
CHANGE OF MAILING ADDRESS 2012-04-23 13650 West Colonial Dr., 100, WINTER GARDEN, FL 34787 No data
REGISTERED AGENT ADDRESS CHANGED 2012-04-23 713 DUFF DR, ORLANDO, FL 34787 No data

Documents

Name Date
ANNUAL REPORT 2015-04-21
ANNUAL REPORT 2014-04-27
ANNUAL REPORT 2013-04-21
ANNUAL REPORT 2012-04-23
ANNUAL REPORT 2011-04-23
ANNUAL REPORT 2010-04-25
ANNUAL REPORT 2009-02-16
Florida Limited Liability 2008-12-18

Date of last update: 02 Feb 2025

Sources: Florida Department of State