| Entity Name: | IPS OF DELTONA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 11 Feb 2009 (16 years ago) |
| Date of dissolution: | 11 Apr 2011 (14 years ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 11 Apr 2011 (14 years ago) |
| Document Number: | L09000014065 |
| FEI/EIN Number | 26-4246100 |
| Address: | 5700 MIDNIGHT PASS ROAD, SUITE 4, SARASOTA, FL 34242 |
| Mail Address: | 5700 MIDNIGHT PASS ROAD, SUITE 4, SARASOTA, FL 34242 |
| ZIP code: | 34242 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912148636 | 2009-03-09 | 2009-03-09 | 201 MONTGOMERY AVE, SARASOTA, FL, 342431519, US | 777 DELTONA BLVD, SUITE 21, DELTONA, FL, 327257173, US | |||||||||||||||||||||||||||
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| Phone | +1 941-360-1566 |
| Fax | 9413589818 |
| Phone | +1 386-575-2225 |
| Fax | 3865751096 |
Authorized person
| Name | CARL RICHARDSON NOBACK |
| Role | PRESIDENT |
| Phone | 9413601566 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| Is Primary | Yes |
| Taxonomy Code | 208VP0000X - Pain Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 367500000X - Certified Registered Nurse Anesthetist |
| Is Primary | No |
| Name | Role |
|---|---|
| A1A REGISTERED AGENT INC. | Agent |
| Name | Role |
|---|---|
| MOUNTAIN MEDICAL CENTER, LLC | Managing Member |
| INNOVATIVE PAIN SOLUTIONS, LLC | Managing Member |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2011-04-11 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-04-21 | 5700 MIDNIGHT PASS ROAD, SUITE 4, SARASOTA, FL 34242 | No data |
| CHANGE OF MAILING ADDRESS | 2010-04-21 | 5700 MIDNIGHT PASS ROAD, SUITE 4, SARASOTA, FL 34242 | No data |
| LC AMENDMENT | 2009-05-21 | No data | No data |
| LC ARTICLE OF CORR- ECTION/NAME CHANGE | 2009-02-24 | IPS OF DELTONA, LLC | No data |
| Name | Date |
|---|---|
| LC Voluntary Dissolution | 2011-04-11 |
| ANNUAL REPORT | 2010-04-21 |
| LC Amendment | 2009-05-21 |
| LC Article of Correction/NC | 2009-02-24 |
| Florida Limited Liability | 2009-02-11 |
Date of last update: 26 Jan 2025
Sources: Florida Department of State
