Entity Name: | PEARL MEDICAL PAIN CENTERS, L.L.C. |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Inactive |
Date Filed: | 22 Feb 2010 (15 years ago) |
Date of dissolution: | 23 Sep 2011 (13 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 23 Sep 2011 (13 years ago) |
Document Number: | L10000020340 |
Address: | 155 JACKSON STREET, SUITE C, SATELLITE BEACH, FL, 32937 |
Mail Address: | 155 JACKSON STREET, SUITE C, SATELLITE BEACH, FL, 32937 |
ZIP code: | 32937 |
County: | Brevard |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1093038937 | 2010-03-07 | 2010-03-07 | 155 JACKSON AVE, SATELLITE BEACH, FL, 329372993, US | 155 JACKSON AVE, SATELLITE BEACH, FL, 329372993, US | |||||||||||||||||||||||||
|
Phone | +1 321-773-2663 |
Authorized person
Name | MICHAEL VILLE |
Role | PRESIDENT |
Phone | 3217732663 |
Taxonomy
Taxonomy Code | 111NX0800X - Orthopedic Chiropractor |
License Number | CH3794 |
State | FL |
Is Primary | Yes |
Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
License Number | ME36928 |
State | FL |
Is Primary | No |
Name | Role | Address |
---|---|---|
VILLE MICHAEL D | Agent | 155 JACKSON STREET, SUITE C, SATELLITE BEACH, FL, 32937 |
Name | Role | Address |
---|---|---|
VILLE, D.C. MICHAEL | Managing Member | 155 JACKSON STREET, SUITE C, SATELLITE BEACH, FL, 32937 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
Name | Date |
---|---|
Florida Limited Liability | 2010-02-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State