| Entity Name: | MANDARIN PAIN SOLUTIONS, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 19 Sep 2014 (10 years ago) |
| Date of dissolution: | 23 Jan 2023 (2 years ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 23 Jan 2023 (2 years ago) |
| Document Number: | L14000147244 |
| FEI/EIN Number | 471912746 |
| Address: | 2001 KINGSLEY AVE, ORANGE PARK, FL, 32073, US |
| Mail Address: | PO BOX 600643, JACKSONVILLE, FL, 32260, US |
| ZIP code: | 32073 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922499433 | 2015-02-05 | 2015-02-05 | PO BOX 600643, JACKSONVILLE, FL, 322600643, US | 2001 KINGSLEY AVE, ORANGE PARK, FL, 320735148, US | |||||||||||||||||
|
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| Phone | +1 904-382-3669 |
Authorized person
| Name | DR. STEVEN FRANK MCINTYRE |
| Role | OWNER |
| Phone | 9043823669 |
Taxonomy
| Taxonomy Code | 207LP2900X - Pain Medicine (Anesthesiology) Physician |
| License Number | ME102331 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| PHYSICIANS ONLINE, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| MCINTYRE STEVEN | Authorized Member | PO BOX 600643, JACKSONVILLE, FL, 32260 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2023-01-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-12-04 | PHYSICIANS ONLINE, INC. | No data |
| LC STMNT OF RA/RO CHG | 2020-12-04 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-12-04 | 9050 CYPRESS GREEN DRIVE, SUITE A, #104, JACKSONVILLE, FL 32256 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-11-20 | 2001 KINGSLEY AVE, ORANGE PARK, FL 32073 | No data |
| LC STMNT OF RA/RO CHG | 2018-10-22 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2018-02-04 | 2001 KINGSLEY AVE, ORANGE PARK, FL 32073 | No data |
| Name | Date |
|---|---|
| LC Voluntary Dissolution | 2023-01-23 |
| ANNUAL REPORT | 2023-01-20 |
| ANNUAL REPORT | 2022-04-07 |
| ANNUAL REPORT | 2021-03-16 |
| CORLCRACHG | 2020-12-04 |
| ANNUAL REPORT | 2020-01-11 |
| ANNUAL REPORT | 2019-01-29 |
| CORLCRACHG | 2018-10-22 |
| ANNUAL REPORT | 2018-02-04 |
| ANNUAL REPORT | 2017-01-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
