| Entity Name: | SAR PAIN INSTITUTE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
SAR PAIN INSTITUTE 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. |
| 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: | 06 Dec 2010 (14 years ago) |
| Date of dissolution: | 27 Apr 2022 (3 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 27 Apr 2022 (3 years ago) |
| Document Number: | L10000125362 |
| FEI/EIN Number |
274118275
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 5624 8TH ST WEST., STE 111, LEHIGH ACRES, FL, 33971, US |
| Mail Address: | P.O. BOX 380877, MURDOCK, FL, 33938, US |
| ZIP code: | 33971 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104104785 | 2011-07-29 | 2023-03-07 | 2706 SE SANTA BARBARA PL, CAPE CORAL, FL, 339042701, US | 2706 SE SANTA BARBARA PL, CAPE CORAL, FL, 339042701, US | |||||||||||||||||||||||||||||||
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| Phone | +1 239-471-0721 |
| Fax | 2394710732 |
Authorized person
| Name | STEPHEN MARK ROSS |
| Role | MEDICAL DIRECTOR |
| Phone | 2394710721 |
Taxonomy
| Taxonomy Code | 261QP3300X - Pain Clinic/Center |
| License Number | PMC 1621 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE PTAN |
| Number | FK751A |
| State | FL |
| Issuer | PAIN CLINIC |
| Number | PMC1621 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ROSS STEPHEN MMD | MEDI | P.O. BOX 380877, MURDOCK, FL, 33938 |
| GONZALEZ CRYSTAL L | Agent | 2706 SE SANTA BARBAR PLACE, CAPE CORAL, FL, 33904 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000105900 | SAR MEDICAL INSTITUTE OF CAPE CORAL | EXPIRED | 2014-10-21 | 2019-12-31 | - | 2706 SE SANTA BARBARA PLACE, CAPE CORAL, FL, 33904 |
| G14000102679 | SAR MEDICAL OF CAPE CORAL | EXPIRED | 2014-10-09 | 2019-12-31 | - | 2706 SE SANTA BARBARA PLACE, CAPE CORAL, FL, 33904 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2022-04-27 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2021-09-10 | 5624 8TH ST WEST., STE 111, LEHIGH ACRES, FL 33971 | - |
| REGISTERED AGENT NAME CHANGED | 2020-04-08 | GONZALEZ, CRYSTAL L | - |
| CHANGE OF MAILING ADDRESS | 2015-02-02 | 5624 8TH ST WEST., STE 111, LEHIGH ACRES, FL 33971 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2015-02-02 | 2706 SE SANTA BARBAR PLACE, CAPE CORAL, FL 33904 | - |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2022-04-27 |
| ANNUAL REPORT | 2021-03-17 |
| ANNUAL REPORT | 2020-04-08 |
| ANNUAL REPORT | 2019-04-01 |
| ANNUAL REPORT | 2018-03-12 |
| ANNUAL REPORT | 2017-04-17 |
| ANNUAL REPORT | 2016-04-14 |
| ANNUAL REPORT | 2015-02-02 |
| ANNUAL REPORT | 2014-03-17 |
| ANNUAL REPORT | 2013-04-26 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
