| Entity Name: | DR. BADAWY PAIN & SPINE CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 05 Jul 2013 (12 years ago) |
| Last Event: | LC ARTICLE OF CORRECTION/NAME CHANGE |
| Event Date Filed: | 10 Jul 2013 (12 years ago) |
| Document Number: | L13000095776 |
| FEI/EIN Number | 80-0939392 |
| Address: | ORLANDO PAIN&SPINE CENTER, 4351 Hunters Park Lane, ORLANO, FL 32837 |
| Mail Address: | ORLANDO PAIN&SPINE CENTER, 4351 Hunters Park Lane, ORLANO, FL 32837 |
| ZIP code: | 32837 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518308170 | 2013-07-11 | 2024-09-02 | 4351 HUNTERS PARK LN, ORLANDO, FL, 328377614, US | 4351 HUNTERS PARK LN, ORLANDO, FL, 328377614, US | |||||||||||||||||||||||||||
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| Phone | +1 407-985-4700 |
| Fax | 4079854702 |
| Phone | +1 407-574-3129 |
Authorized person
| Name | AMR H. BADAWY |
| Role | OWNER |
| Phone | 4079854700 |
Taxonomy
| Taxonomy Code | 261QP3300X - Pain Clinic/Center |
| License Number | ME 110154 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 015074100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BADAWY, AMR H | Agent | ORLANDO PAIN&SPINE CENTER, 4351 Hunters Park Lane, ORLANO, FL 32837 |
| Name | Role | Address |
|---|---|---|
| BADAWY, AMR H, Dr. | Managing Member | ORLANDO PAIN&SPINE CENTER, 4351 Hunters Park Lane ORLANO, FL 32837 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2020-06-07 | ORLANDO PAIN&SPINE CENTER, 4351 Hunters Park Lane, ORLANO, FL 32837 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-06-07 | ORLANDO PAIN&SPINE CENTER, 4351 Hunters Park Lane, ORLANO, FL 32837 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-13 | ORLANDO PAIN&SPINE CENTER, 4351 Hunters Park Lane, ORLANO, FL 32837 | No data |
| LC ARTICLE OF CORR- ECTION/NAME CHANGE | 2013-07-10 | DR. BADAWY PAIN & SPINE CENTER, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-12 |
| ANNUAL REPORT | 2024-03-02 |
| ANNUAL REPORT | 2023-02-05 |
| ANNUAL REPORT | 2022-07-20 |
| ANNUAL REPORT | 2021-03-07 |
| ANNUAL REPORT | 2020-06-07 |
| ANNUAL REPORT | 2019-01-27 |
| ANNUAL REPORT | 2018-04-13 |
| ANNUAL REPORT | 2017-04-04 |
| ANNUAL REPORT | 2016-01-23 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1594608604 | 2021-03-13 | 0491 | PPS | 6851 Lucca St, Orlando, FL, 32819-5519 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2059127304 | 2020-04-29 | 0491 | PPP | 6851 LUCCA ST, ORLANDO, FL, 32819 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 21 Feb 2025
Sources: Florida Department of State
