| Entity Name: | SAINT PETERSBURG INTERVENTIONAL PAIN MANAGEMENT LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
SAINT PETERSBURG INTERVENTIONAL PAIN MANAGEMENT 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: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 21 Sep 2015 (10 years ago) |
| Date of dissolution: | 27 Sep 2019 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (6 years ago) |
| Document Number: | L15000160230 |
| FEI/EIN Number |
475506729
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 620 10TH STREET NORTH, ATTN: DR. DANYA GODOY, SAINT PETERSBURG, FL, 33705, US |
| Mail Address: | 323 BAYVIEW DR NE, SAINT PETERSBURG, FL, 33704, US |
| ZIP code: | 33705 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306211743 | 2015-12-10 | 2015-12-10 | 620 10TH ST NORTH, 2D, SAINT PETERSBURG, FL, 33704, US | 620 10TH ST N, SUITE 2D, ST PETERSBURG, FL, 337051407, US | |||||||||||||||||||||||
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| Phone | +1 727-824-8383 |
Authorized person
| Name | DANYA ALIDA GODOY |
| Role | DOCTOR |
| Phone | 1727148573 |
Taxonomy
| Taxonomy Code | 208VP0000X - Pain Medicine Physician |
| License Number | ME85040 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 269485900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GODOY DANYA AMD | Manager | 323 BAYVIEW DR NE, SAINT PETERSBURG, FL, 33704 |
| BAILEY JERRY L | Manager | 323 BAYVIEW DR NE, SAINT PETERSBURG, FL, 33704 |
| BAILEY JERRY L | Agent | 323 BAYVIEW DR NE, SAINT PETERSBURG, FL, 33704 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2016-03-02 | 620 10TH STREET NORTH, ATTN: DR. DANYA GODOY, SUITE 2D, SAINT PETERSBURG, FL 33705 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-01-13 |
| ANNUAL REPORT | 2017-01-22 |
| ANNUAL REPORT | 2016-03-02 |
| Florida Limited Liability | 2015-09-21 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
