| Entity Name: | ST. JUDE PAIN AND REHABILITATION SPECIALISTS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 13 Apr 2015 (10 years ago) |
| Document Number: | L15000064144 |
| FEI/EIN Number | 47-3753533 |
| Address: | 2828 SOUTH SEACREST BLVD, 211, BOYNTON BEACH, FL 33435 |
| Mail Address: | PO Box 039, Boynton Beach, FL 33425 |
| ZIP code: | 33435 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184011496 | 2015-04-24 | 2018-07-09 | 1308 LAKE DR, DELRAY BEACH, FL, 334443046, US | 2828 S SEACREST BLVD STE 211, BOYNTON BEACH, FL, 33435, US | |||||||||||||||||||||||||||||
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| Phone | +1 561-722-3388 |
| Phone | +1 561-369-7644 |
| Fax | 5613693471 |
Authorized person
| Name | DR. ALEXIS R RENTA |
| Role | PHYSICIAN |
| Phone | 5617223388 |
Taxonomy
| Taxonomy Code | 208VP0000X - Pain Medicine Physician |
| License Number | ME73546 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 208VP0014X - Interventional Pain Medicine Physician |
| License Number | ME73546 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Renta, Alexis | Agent | 2828 SOUTH SEACREST BLVD, 211, BOYNTON BEACH, FL 33435 |
| Name | Role | Address |
|---|---|---|
| RENTA, ALEXIS R, MD | Managing Member | PO Box 039, Boynton Beach, FL 33425 |
| Name | Role | Address |
|---|---|---|
| renta, laura miller | Manager | PO Box 039, Boynton Beach, FL 33425 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2025-01-06 | Renta, Alexis | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2025-01-06 | 2828 SOUTH SEACREST BLVD, 211, BOYNTON BEACH, FL 33435 | No data |
| CHANGE OF MAILING ADDRESS | 2019-02-13 | 2828 SOUTH SEACREST BLVD, 211, BOYNTON BEACH, FL 33435 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-01-11 | 2828 SOUTH SEACREST BLVD, 211, BOYNTON BEACH, FL 33435 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-06 |
| ANNUAL REPORT | 2024-02-02 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-01-14 |
| ANNUAL REPORT | 2019-02-13 |
| ANNUAL REPORT | 2018-01-11 |
| ANNUAL REPORT | 2017-02-12 |
| ANNUAL REPORT | 2016-03-27 |
Date of last update: 20 Feb 2025
Sources: Florida Department of State
