| Entity Name: | ANESCO INTERVENTIONAL PAIN INSTITUTE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 07 Oct 2011 (13 years ago) |
| Document Number: | L11000115123 |
| FEI/EIN Number | 45-3581850 |
| Address: | 4800 NE 20 Terrace Ste #303, Fort Lauderdale, FL 33308 |
| Mail Address: | 3536 N FEDERAL HWY, SUITE 202, FORT LAUDERDALE, FL 33308 |
| ZIP code: | 33308 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881040608 | 2016-05-11 | 2021-06-30 | PO BOX 160805, ALTAMONTE SPRINGS, FL, 327160805, US | 4800 NE 20TH TER STE 303, FORT LAUDERDALE, FL, 333084510, US | |||||||||||||||||||||
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| Phone | +1 954-580-4084 |
| Fax | 9545804081 |
| Phone | +1 954-580-4080 |
Authorized person
| Name | DR. PAUL KOLBERT |
| Role | VICE PRESIDENT |
| Phone | 9547032933 |
Taxonomy
| Taxonomy Code | 208VP0014X - Interventional Pain Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| REYNOLDS, KEVIN | Agent | 2401 NW BOCA RATON BLVD, BOCA RATON, FL 33431 |
| Name | Role | Address |
|---|---|---|
| MELI, RICHARD | Managing Member | 3536 N Federal Hwy, Ste 202 FT LAUDERDALE, FL 33308 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-18 | 4800 NE 20 Terrace Ste #303, Fort Lauderdale, FL 33308 | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-04 | 4800 NE 20 Terrace Ste #303, Fort Lauderdale, FL 33308 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-18 |
| ANNUAL REPORT | 2023-04-17 |
| ANNUAL REPORT | 2022-04-05 |
| ANNUAL REPORT | 2021-03-23 |
| ANNUAL REPORT | 2020-06-09 |
| ANNUAL REPORT | 2019-04-04 |
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-01-10 |
| ANNUAL REPORT | 2016-01-22 |
| ANNUAL REPORT | 2015-01-14 |
Date of last update: 24 Jan 2025
Sources: Florida Department of State
