| Entity Name: | COMPREHENSIVE PAIN OF THE PALM BEACHES PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 17 Apr 2015 (10 years ago) |
| Date of dissolution: | 21 Mar 2023 (2 years ago) |
| Last Event: | CONVERSION |
| Event Date Filed: | 21 Mar 2023 (2 years ago) |
| Document Number: | L15000073093 |
| FEI/EIN Number | 47-3971884 |
| Address: | 4897 S JOG RD, SUITE "B", GREENACRES, FL 33467 |
| Mail Address: | 4897 S JOG RD, SUITE "B", GREENACRES, FL 33467 |
| ZIP code: | 33467 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205214947 | 2015-05-14 | 2024-09-26 | 4897 S JOG RD, SUITE B, GREENACRES, FL, 334675000, US | 4897 S JOG RD, SUITE B, GREENACRES, FL, 334675000, US | |||||||||||||||||||||||||
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| Phone | +1 561-434-7577 |
| Fax | 5614343440 |
Authorized person
| Name | MR. BART G GATZ |
| Role | MEDICAL DIRECTOR |
| Phone | 5614347577 |
Taxonomy
| Taxonomy Code | 208VP0014X - Interventional Pain Medicine Physician |
| License Number | ME0076064 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE PTAN |
| Number | IL799A |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FLORIDA HEALTHCARE LAW FIRM | Agent | 151 NW 1st Avenue, Delray Beach, FL 33444 |
| Name | Role | Address |
|---|---|---|
| GATZ, BART | Manager | 4897 S JOG RD, SUITE "B" GREENACRES, FL 33467 |
| Litten, Jordan | Manager | 4897 S JOG RD, SUITE "B" GREENACRES, FL 33467 |
| GATZ, BARBARA | Manager | 4897 S JOG RD, SUITE "B" GREENACRES, FL 33467 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000021166 | AMERICAN INTERNATIONAL PHYSICIANS INSTITUTE OF FLORIDA | ACTIVE | 2023-02-14 | 2028-12-31 | No data | 4897 S JOG ROAD, SUITE "B", GREENACRES, FL, 33467 |
| G23000016389 | AMERICAN INTERNATIONAL PHYSICIANS OF FLORIDA | ACTIVE | 2023-02-02 | 2028-12-31 | No data | 4897 S JOG ROAD, SUITE "B", GREENACRES, FL, 33467 |
| G22000128834 | COMPREHENSIVE PAIN ASSOCIATES | ACTIVE | 2022-10-14 | 2027-12-31 | No data | 1936 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL, 34952 |
| G16000037616 | COMPREHENSIVE PAIN OF THE PALM BEACHES | EXPIRED | 2016-04-13 | 2021-12-31 | No data | 4897 SOUTH JOG ROAD, LAKE WORTH, FL, 33467 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CONVERSION | 2023-03-21 | No data | CONVERSION MEMBER. RESULTING CORPORATION WAS L23000169332. CONVERSION NUMBER 500000238585 |
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-28 | 151 NW 1st Avenue, Delray Beach, FL 33444 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-02-28 | FLORIDA HEALTHCARE LAW FIRM | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-04-28 | 4897 S JOG RD, SUITE "B", GREENACRES, FL 33467 | No data |
| CHANGE OF MAILING ADDRESS | 2017-04-28 | 4897 S JOG RD, SUITE "B", GREENACRES, FL 33467 | No data |
| REINSTATEMENT | 2016-10-04 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| LC AMENDMENT | 2016-04-15 | No data | No data |
| LC AMENDMENT | 2015-07-09 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-02-28 |
| ANNUAL REPORT | 2022-02-07 |
| ANNUAL REPORT | 2021-02-17 |
| ANNUAL REPORT | 2020-03-26 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-02-28 |
| AMENDED ANNUAL REPORT | 2017-04-28 |
| ANNUAL REPORT | 2017-01-10 |
| REINSTATEMENT | 2016-10-04 |
| LC Amendment | 2016-04-15 |
Date of last update: 21 Jan 2025
Sources: Florida Department of State
