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CLAY PAIN CENTER PHYSICIANS, LLC - Florida Company Profile

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Company Details

Entity Name: CLAY PAIN CENTER PHYSICIANS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

CLAY PAIN CENTER PHYSICIANS, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 18 Mar 2009 (16 years ago)
Date of dissolution: 25 Sep 2015 (10 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2015 (10 years ago)
Document Number: L09000026857
FEI/EIN Number 264489679

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 1564 KINGSLEY AVE, ORANGE PARK, FL, 32073
Mail Address: 1564 KINGSLEY AVE, ORANGE PARK, FL, 32073
ZIP code: 32073
County: Clay
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
CLAY SURGERY CENTER, LLP Managing Member 1564 KINGSLEY AVE., ORANGE PARK, FL, 32073
SHAH HEMANT N Managing Member PO BOX 600290, JACKSONVILLE, FL, 32260
BATAINEH MOHAMMAD R Agent 1200 RIVERPLACE BLVD., JACKSONVILLE, FL, 32207

National Provider Identifier

NPI Number:
1659508273

Authorized Person:

Name:
CARL R. NOBACK
Role:
MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
208VP0014X - Interventional Pain Medicine Physician
Is Primary:
No
Selected Taxonomy:
208VP0000X - Pain Medicine Physician
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G09000172539 CLAY PAIN CENTER, LLC EXPIRED 2009-11-05 2014-12-31 - 1564 KINGSLEY AVE, ORANGE PARK, FL, 32073

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2015-09-25 - -
REGISTERED AGENT NAME CHANGED 2012-05-01 BATAINEH, MOHAMMAD R -
REGISTERED AGENT ADDRESS CHANGED 2012-05-01 1200 RIVERPLACE BLVD., STE 705, JACKSONVILLE, FL 32207 -
LC NAME CHANGE 2009-06-29 CLAY PAIN CENTER PHYSICIANS, LLC -

Documents

Name Date
ANNUAL REPORT 2014-04-03
ANNUAL REPORT 2013-04-30
ANNUAL REPORT 2012-05-01
ANNUAL REPORT 2011-03-24
ANNUAL REPORT 2010-04-22
LC Name Change 2009-06-29
Florida Limited Liability 2009-03-18

OSHA's Inspections within Industry

Inspection Summary

Date:
2013-07-11
Type:
Planned
Address:
1564 KINGSLEY AVE., ORANGE PARK, FL, 32073
Safety Health:
Health
Scope:
Complete

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Date of last update: 03 Jun 2025

Sources: Florida Department of State