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ADVANCED PAIN MANAGEMENT CLINIC, LLC - Florida Company Profile

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Company Details

Entity Name: ADVANCED PAIN MANAGEMENT CLINIC, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 21 Jul 2009 (16 years ago)
Document Number: L09000070038
FEI/EIN Number 270583254
Address: 3003 Claire Lane, BLDG 100, JACKSONVILLE, FL, 32223, US
Mail Address: 3003 Claire Lane, BLDG 100, JACKSONVILLE, FL, 32223, US
ZIP code: 32223
City: Jacksonville
County: Duval
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Willens Michael SD.O. Chief Executive Officer 3003 Claire Lane, JACKSONVILLE, FL, 32223
Willens Sara Manager 3003 Claire Lane, JACKSONVILLE, FL, 32223
WILLENS MICHAEL D.O. Agent 3003 Claire Lane, JACKSONVILLE, FL, 32223

National Provider Identifier

NPI Number:
1316179245

Authorized Person:

Name:
DR. MICHAEL S WILLENS
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207LP2900X - Pain Medicine (Anesthesiology) Physician
Is Primary:
Yes

Contacts:

Fax:
9046832597

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2016-01-22 3003 Claire Lane, BLDG 100, JACKSONVILLE, FL 32223 -
CHANGE OF MAILING ADDRESS 2016-01-22 3003 Claire Lane, BLDG 100, JACKSONVILLE, FL 32223 -
REGISTERED AGENT ADDRESS CHANGED 2016-01-22 3003 Claire Lane, BLDG 100, JACKSONVILLE, FL 32223 -
REGISTERED AGENT NAME CHANGED 2014-01-09 WILLENS, MICHAEL, D.O. -

Documents

Name Date
ANNUAL REPORT 2025-02-06
ANNUAL REPORT 2024-01-11
ANNUAL REPORT 2023-01-19
ANNUAL REPORT 2022-01-21
ANNUAL REPORT 2021-01-12
ANNUAL REPORT 2020-01-10
ANNUAL REPORT 2019-04-01
ANNUAL REPORT 2018-01-10
ANNUAL REPORT 2017-02-12
ANNUAL REPORT 2016-01-22

USAspending Awards / Financial Assistance

Date:
2020-04-15
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
73310.00
Total Face Value Of Loan:
73310.00

Paycheck Protection Program

Jobs Reported:
7
Initial Approval Amount:
$73,310
Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$73,310
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$73,924.99
Servicing Lender:
Valley National Bank
Use of Proceeds:
Payroll: $73,310

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Date of last update: 03 Jul 2025

Sources: Florida Department of State