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IPS OF PUNTA GORDA, LLC

Company Details

Entity Name: IPS OF PUNTA GORDA, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 31 Aug 2009 (15 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: L09000083954
Address: 201 MONTGOMERY AVE, SARASOTA, FL 34243
Mail Address: 201 MONTGOMERY AVE, SARASOTA, FL 34243
ZIP code: 34243
County: Manatee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1710110077 2009-09-02 2009-12-10 PO BOX 864483, ORLANDO, FL, 328864483, US 1400 EDUCATION WAY, PT CHARLOTTE, FL, 339481000, US

Contacts

Phone +1 941-625-9800
Fax 9416253492

Authorized person

Name CARL R. NOBACK
Role AUTHORIZED OFFICIAL
Phone 9413601566

Taxonomy

Taxonomy Code 207L00000X - Anesthesiology Physician
Is Primary Yes
Taxonomy Code 367500000X - Certified Registered Nurse Anesthetist
Is Primary No

Agent

Name Role
A1A REGISTERED AGENT INC. Agent

Managing Member

Name Role
INNOVATIVE PAIN SOLUTIONS, LLC Managing Member
MUA OF CHARLOTTE COUNTY, LLC Managing Member

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 No data No data

Documents

Name Date
Florida Limited Liability 2009-08-31

Date of last update: 25 Jan 2025

Sources: Florida Department of State