| Entity Name: | PAIN CARE MANAGEMENT OF TAMPA, 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: | L08000115240 |
| FEI/EIN Number | 263903676 |
| Address: | 1121 Marabella Plaza Dr., Tampa, FL, 33619, US |
| Mail Address: | 5036 DR PHILLIPS BLVD, 337, ORLANDO, FL, 32819, US |
| ZIP code: | 33619 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639489776 | 2010-10-07 | 2014-02-13 | 5036 DR PHILLIPS BLVD, SUITE 337, ORLANDO, FL, 328193310, US | 1121 MARBELLA PLAZA DR, TAMPA, FL, 336197905, US | |||||||||||||||||||||||
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| Phone | +1 321-251-4462 |
| Fax | 8884691872 |
| Phone | +1 813-571-3233 |
| Fax | 8136305875 |
Authorized person
| Name | MR. C R LONG |
| Role | MANAGING MEMBER |
| Phone | 3212514462 |
Taxonomy
| Taxonomy Code | 261QP3300X - Pain Clinic/Center |
| License Number | PMC268 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LONG CONNIE R | Agent | 713 DUFF DR, ORLANDO, FL, 34787 |
| Name | Role | Address |
|---|---|---|
| LONG CONNIE R | Managing Member | 713 DUFF DR, ORLANDO, FL, 34787 |
| LONG ANNA B | Managing Member | 713 DUFF DR, ORLANDO, FL, 34787 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G08366900821 | PAIN CARE PLUS | EXPIRED | 2008-12-31 | 2013-12-31 | No data | 1121 MARBELLA PLAZA DRIVE, TAMPA, FL, 33619 |
| 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 | 1121 Marabella Plaza Dr., Tampa, FL 33619 | No data |
| CHANGE OF MAILING ADDRESS | 2012-04-18 | 1121 Marabella Plaza Dr., Tampa, FL 33619 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-04-18 | 713 DUFF DR, ORLANDO, FL 34787 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-04-21 |
| ANNUAL REPORT | 2014-04-27 |
| ANNUAL REPORT | 2013-04-21 |
| ANNUAL REPORT | 2012-04-18 |
| 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: 01 Feb 2025
Sources: Florida Department of State
