| Entity Name: | PAIN DX SOLUTIONS OF FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 23 Jan 2013 (12 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | L13000012030 |
| FEI/EIN Number | 35-2468211 |
| Address: | 24945 US HIGHWAY 19 N, CLEARWATER, FL 33763 |
| Mail Address: | 24945 US HIGHWAY 19 N, CLEARWATER, FL 33763 |
| ZIP code: | 33763 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275979700 | 2013-05-10 | 2013-07-01 | 24945 US HIGHWAY 19 N, CLEARWATER, FL, 337633927, US | 24945 US HIGHWAY 19 N, CLEARWATER, FL, 337633927, US | |||||||||||||||||
|
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| Phone | +1 201-620-8396 |
Authorized person
| Name | DR. DAVID WOLSTEIN |
| Role | MEDICAL DIRECTOR |
| Phone | 2016208396 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | ME17577 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| TOTAL VITALITY MEDICAL GROUP, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| PAIN DX SOLUTIONS, LLC | Manager | 9 WILDWOOD ROAD, WOODCLIFF, NJ 07677 |
| B&D ALLIANCE LLC | Manager | 24945 US HIGHWAY 19 N, CLEARWATER, FL 33763 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2014-01-20 | Total Vitality Medical Group | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-01-20 |
| Florida Limited Liability | 2013-01-23 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
