| Entity Name: | INSTITUTO MEDICO DEL DOLOR LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 15 Oct 2010 (14 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | L10000107746 |
| FEI/EIN Number | 273724540 |
| Mail Address: | 3850 BIRD ROAD, PH 1, CORAL GABLES, FL, 33146 |
| Address: | 3850 Bird Road, PH 1, Miami, FL, 33146, US |
| ZIP code: | 33146 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942572805 | 2012-02-07 | 2012-02-07 | 717 PONCE DE LEON BLVD STE 218, CORAL GABLES, FL, 331342048, US | 717 PONCE DE LEON BLVD STE 218, CORAL GABLES, FL, 331342048, US | |||||||||||||||||||
|
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| Phone | +1 786-536-9656 |
| Fax | 7865369653 |
Authorized person
| Name | KAVEH KARANDISH |
| Role | D |
| Phone | 7865369656 |
Taxonomy
| Taxonomy Code | 261QR0401X - Comprehensive Outpatient Rehabilitation Facility (CORF) |
| License Number | ME103915 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CHOWDHURY EQRAMUL I | Agent | 3850 BIRD ROAD, CORAL GABLES, FL, 33146 |
| Name | Role | Address |
|---|---|---|
| MILLAN JACQUELINE | Manager | 3850 BIRD ROAD PH 1, CORAL GABLES, FL, 33146 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000042230 | MEDSUN HEALTH | EXPIRED | 2016-04-26 | 2021-12-31 | No data | 3850 BIRD ROAD SUITE 902B, CORAL GABLES, FL, 33146 |
| G14000025419 | CHOICE HEALTH | EXPIRED | 2014-03-11 | 2019-12-31 | No data | 3850 BIRD ROAD, PH 1, CORAL GABLES, FL, 33146 |
| G14000025418 | FLORIDA MEDICAL | EXPIRED | 2014-03-11 | 2019-12-31 | No data | 3850 BIRD ROAD, PH 1, CORAL GABLES, FL, 33146 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-03-30 | 3850 Bird Road, PH 1, Miami, FL 33146 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-03-30 |
| ANNUAL REPORT | 2016-03-07 |
| ANNUAL REPORT | 2015-03-09 |
| ANNUAL REPORT | 2014-04-07 |
| ANNUAL REPORT | 2013-02-26 |
| ANNUAL REPORT | 2012-02-07 |
| ANNUAL REPORT | 2011-03-21 |
| Florida Limited Liability | 2010-10-15 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
