| Entity Name: | UNIVERSITY PAIN ASSOCIATES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 09 Jan 2013 (12 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | L13000004883 |
| FEI/EIN Number | 46-1759906 |
| Address: | 204 37TH AVE NORTH, SUITE 125, ST. PETERSBURG, FL, 33704, US |
| Mail Address: | 204 37TH AVE NORTH, SUITE 125, ST. PETERSBURG, FL, 33704, US |
| ZIP code: | 33704 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306274048 | 2013-10-15 | 2013-10-15 | 204 37TH AVE N, #125, ST PETERSBURG, FL, 337041416, US | 431 SOUTHWEST BLVD N, ST PETERSBURG, FL, 337031399, US | |||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||
| Phone | +1 727-822-3500 |
| Fax | 7278223228 |
Authorized person
| Name | GREGORY N. KOZLOV |
| Role | PRESIDENT & MANAGING MEMBER |
| Phone | 7278223500 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| License Number | OS11865 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207LP2900X - Pain Medicine (Anesthesiology) Physician |
| License Number | OS11865 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KOZLOV GREGORY N | Agent | 204 37TH AVE N., ST. PETERSBURG, FL, 33704 |
| Name | Role | Address |
|---|---|---|
| KOZLOV GREGORY | Manager | 204 37TH AVE N. SUITE 125, ST. PETERSBURG, FL, 33704 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-04-20 |
| ANNUAL REPORT | 2015-04-29 |
| ANNUAL REPORT | 2014-01-20 |
| Florida Limited Liability | 2013-01-09 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
