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LOPEZ PAIN MANAGEMENT, LLC - Florida Company Profile

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Company Details

Entity Name: LOPEZ PAIN MANAGEMENT, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 05 Dec 2013 (12 years ago)
Date of dissolution: 27 Sep 2024 (a year ago)
Last Event: REINSTATEMENT
Event Date Filed: 13 Jan 2025 (7 months ago)
Document Number: L13000168592
FEI/EIN Number 46-4251159
Address: 4863 PALM COAST PARKWAY NW, UNIT 2, PALM COAST, FL, 32137, US
Mail Address: 4863 PALM COAST PARKWAY, UNIT 2, PALM COAST, FL, 32137, US
ZIP code: 32137
City: Palm Coast
County: Flagler
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
LOPEZ MANUEL Manager 4863 PALM COAST PARKWAY NW, PALM COAST, FL, 32137
LOPEZ MANUEL E Agent 4863 Palm Coast Parlway NW, Palm Coast, FL, 32137

National Provider Identifier

NPI Number:
1902655731
Certification Date:
2024-05-08

Authorized Person:

Name:
CHRISTINE RIVENBARK
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
208VP0000X - Pain Medicine Physician
Is Primary:
No
Selected Taxonomy:
208VP0014X - Interventional Pain Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
8772965238
Fax:
3526006765

Form 5500 Series

Employer Identification Number (EIN):
464251159
Plan Year:
2023
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
6
Sponsors Telephone Number:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000069620 TRIUNE PAIN AND SPINE SPECIALISTS ACTIVE 2024-06-04 2029-12-31 - 4863 PALM COAST PARKWAY NW, SUITE 2, PALM COAST, FL, 32137
G23000045541 APEX PAIN MEDICINE ACTIVE 2023-04-10 2028-12-31 - 4863 PALM COAST PARKWAY NW, SUITE 2, PALM COAST, FL, 32137
G21000170097 SUNSHINE SPINE & PAIN SPECIALISTS ACTIVE 2021-12-22 2026-12-31 - 4863 PALM COAST PARKWAY NW, SUITE 2, PALM COAST, FL, 32137
G18000037951 SEASIDE SPINE & PAIN CENTER EXPIRED 2018-03-21 2023-12-31 - 4863 PALM COAST PARKWAY, UNIT 2, PALM COAST, FL, 32137

Events

Event Type Filed Date Value Description
REINSTATEMENT 2025-01-13 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2024-09-27 - -
REGISTERED AGENT ADDRESS CHANGED 2021-01-29 4863 Palm Coast Parlway NW, unit 2, Palm Coast, FL 32137 -
REGISTERED AGENT NAME CHANGED 2019-10-14 LOPEZ, MANUEL E -
REINSTATEMENT 2019-10-14 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 - -
CHANGE OF MAILING ADDRESS 2018-06-26 4863 PALM COAST PARKWAY NW, UNIT 2, PALM COAST, FL 32137 -
CHANGE OF PRINCIPAL ADDRESS 2018-06-26 4863 PALM COAST PARKWAY NW, UNIT 2, PALM COAST, FL 32137 -

Documents

Name Date
REINSTATEMENT 2025-01-13
ANNUAL REPORT 2023-07-12
ANNUAL REPORT 2022-02-08
ANNUAL REPORT 2021-01-29
ANNUAL REPORT 2020-03-16
REINSTATEMENT 2019-10-14
ANNUAL REPORT 2018-06-26
ANNUAL REPORT 2017-04-27
ANNUAL REPORT 2016-04-14
ANNUAL REPORT 2015-04-29

USAspending Awards / Financial Assistance

Date:
2020-05-11
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
-59756.00
Total Face Value Of Loan:
0.00
Date:
2020-05-11
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
-59756.00
Total Face Value Of Loan:
0.00
Date:
2020-04-29
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
70000.00
Total Face Value Of Loan:
70000.00
Date:
2020-04-29
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
70000.00
Total Face Value Of Loan:
70000.00

Paycheck Protection Program

Jobs Reported:
9
Initial Approval Amount:
$70,000
Date Approved:
2020-04-29
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$70,000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$70,834.25
Servicing Lender:
Live Oak Banking Company
Use of Proceeds:
Payroll: $70,000

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Date of last update: 01 Aug 2025

Sources: Florida Department of State