| Entity Name: | FCCN PAIN MANAGEMENT, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 18 Mar 2009 (16 years ago) |
| Date of dissolution: | 24 Sep 2010 (14 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2010 (14 years ago) |
| Document Number: | L09000026465 |
| Address: | 201 MONTGOMERY AVE, SARASOTA, FL 34243 |
| Mail Address: | 201 MONTGOMERY AVE, SARASOTA, FL 34243 |
| ZIP code: | 34243 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851526511 | 2009-05-26 | 2009-05-26 | PO BOX 864483, ORLANDO, FL, 328864483, US | 1564 KINGSLEY AVE, ORANGE PARK, FL, 320734511, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 904-264-0400 |
Authorized person
| Name | CARL R. NOBACK |
| Role | MEMBER |
| Phone | 9413601566 |
Taxonomy
| Taxonomy Code | 208VP0000X - Pain Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 208VP0014X - Interventional Pain Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| A1A REGISTERED AGENT INC. | Agent |
| Name | Role | Address |
|---|---|---|
| CULLUM CHIROPRACTIC CENTERS, INC. | Managing Member | No data |
| NOBACK, CARL R | Managing Member | 201 MONTGOMERY AVE, SARASOTA, FL 34243 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2009-03-18 |
Date of last update: 25 Jan 2025
Sources: Florida Department of State
