Entity Name: | ADVANCED PAIN MEDICINE OF NORTH FLORIDA, L.L.C. |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 19 Feb 2014 (11 years ago) |
Document Number: | L14000028781 |
FEI/EIN Number | 46-4941128 |
Address: | 194 NW 137th DRive, SUITE 100, Newberry, FL, 32669, US |
Mail Address: | 4500 Newberry Road, Gainesville, FL, 33607, US |
ZIP code: | 32669 |
County: | Alachua |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1962816231 | 2014-06-16 | 2015-02-04 | 194 NW 137TH DRIVE, SUITE 100, NEWBERRY, FL, 32669, US | 194 NW 137TH DRIVE, SUITE 100, NEWBERRY, FL, 32669, US | |||||||||||||||||||
|
Phone | +1 352-508-8668 |
Fax | 3524334558 |
Authorized person
Name | DR. BRENT T STEWART |
Role | PRESIDENT / OWNER |
Phone | 3525088668 |
Taxonomy
Taxonomy Code | 207LP2900X - Pain Medicine (Anesthesiology) Physician |
License Number | ME89103 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
Needham James D | Agent | 4500 Newberry Road, Gainesville, FL, 33607 |
Name | Role | Address |
---|---|---|
STEWART BRENT T | Manager | 1245 COURT STREET, SUITE 102, CLEARWATER, FL, 33756 |
Name | Role | Address |
---|---|---|
Needham James | Chief Executive Officer | 4500 Newberry Road, Gainesville, FL, 33607 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G14000073277 | ADVANCED PAIN MEDICAL CENTER | EXPIRED | 2014-07-15 | 2019-12-31 | No data | 194 NW 137TH DRIVE, SUITE 100, NEWBERRY, FL, 32669 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2024-02-19 | 194 NW 137th DRive, SUITE 100, Newberry, FL 32669 | No data |
CHANGE OF MAILING ADDRESS | 2024-02-19 | 194 NW 137th DRive, SUITE 100, Newberry, FL 32669 | No data |
REGISTERED AGENT NAME CHANGED | 2024-02-19 | Needham, James D | No data |
REGISTERED AGENT ADDRESS CHANGED | 2024-02-19 | 4500 Newberry Road, Gainesville, FL 33607 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-02-19 |
ANNUAL REPORT | 2023-01-21 |
ANNUAL REPORT | 2022-01-31 |
ANNUAL REPORT | 2021-01-16 |
ANNUAL REPORT | 2020-01-17 |
ANNUAL REPORT | 2019-01-29 |
ANNUAL REPORT | 2018-01-14 |
ANNUAL REPORT | 2017-01-12 |
ANNUAL REPORT | 2016-01-25 |
ANNUAL REPORT | 2015-01-09 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State