| Entity Name: | PAIN REHABILITATION AND WELLNESS INSTITUTE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
PAIN REHABILITATION AND WELLNESS INSTITUTE, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 05 Dec 2014 (10 years ago) |
| Document Number: | L14000186405 |
| FEI/EIN Number |
47-2492636
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1627 SW 1ST AVE, Suite 200, OCALA, FL, 34471, US |
| Mail Address: | 1627 SW 1ST AVE, Suite 200, OCALA, FL, 34471, US |
| ZIP code: | 34471 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396282646 | 2017-01-25 | 2017-01-25 | 1623 SW 1ST AVE, OCALA, FL, 344716528, US | 11740 SW 97TH TER, OCALA, FL, 344815273, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 352-732-9844 |
| Fax | 3527326787 |
| Fax | 3528549966 |
Authorized person
| Name | MR. KUCHAKULLA N REDDY |
| Role | MEDICAL DIRECTOR |
| Phone | 3527329844 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | No |
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| License Number | ME78743 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME66726 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 208VP0000X - Pain Medicine Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Reddy Kuchakulla MD | Manager | 1627 SW 1ST AVE, OCALA, FL, 34471 |
| TOTTEL DAWN | Agent | 1627 SW 1ST AVE., OCALA, FL, 34471 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000079171 | FAMILY INTERNAL MEDICINE OF MARION | EXPIRED | 2018-07-23 | 2023-12-31 | - | 1623, OCALA, FL, 34471 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-08 | 1627 SW 1ST AVE, Suite 200, OCALA, FL 34471 | - |
| CHANGE OF MAILING ADDRESS | 2021-04-08 | 1627 SW 1ST AVE, Suite 200, OCALA, FL 34471 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-08 | 1627 SW 1ST AVE., Suite 200, OCALA, FL 34471 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-16 |
| ANNUAL REPORT | 2023-04-25 |
| ANNUAL REPORT | 2022-04-08 |
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-06-09 |
| ANNUAL REPORT | 2019-04-15 |
| ANNUAL REPORT | 2018-04-26 |
| ANNUAL REPORT | 2017-04-05 |
| ANNUAL REPORT | 2016-04-18 |
| ANNUAL REPORT | 2015-04-22 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
