| Entity Name: | DRUG FREE PAIN CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 13 Feb 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: | L13000023517 |
| FEI/EIN Number | 46-2469172 |
| Mail Address: | 3154 SAN MICHELE DRIVE, PALM BEACH GARDENS, FL 33418 |
| Address: | 224 CHIMNEY CORNER LANE, JUPITER, FL 33458 |
| ZIP code: | 33458 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093158230 | 2013-04-08 | 2013-04-08 | 3154 SAN MICHELE DR, PALM BEACH GARDENS, FL, 334186702, US | 224 CHIMNEY CORNER LN, 1026, JUPITER, FL, 334584800, US | |||||||||||||||||||||
|
|||||||||||||||||||||||||
| Phone | +1 561-444-9805 |
Authorized person
| Name | DR. JOHN GARDNER JR. |
| Role | MANAGING MEMBER |
| Phone | 5614449805 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| Is Primary | Yes |
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | ME84984 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| GARDNER, SAMANTHA | Agent | 3154 SAN MICHELE DRIVE, PALM BEACH GARDENS, FL 33418 |
| Name | Role | Address |
|---|---|---|
| GARDNER, JOHN M.D. | Managing Member | 3154 SAN MICHELE DRIVE, PALM BEACH GARDENS, FL 33418 |
| GARDNER, SAMANTHA H | Managing Member | 2154 SAN MICHELE DRIVE, PALM BEACH GARDENS, FL 33418 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000070156 | GARDNER ANESTHESIA CONSULTANTS | EXPIRED | 2013-07-12 | 2018-12-31 | No data | 3154 SAN MICHELE DR, PALM BEACH GARDENS, FL, 33418 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-04-14 |
| Florida Limited Liability | 2013-02-13 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
