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  5. PALM TREE INTERVENTIONAL PAIN MANAGEMENT, PLLC

PALM TREE INTERVENTIONAL PAIN MANAGEMENT, PLLC - Florida Company Profile

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Company Details

Entity Name: PALM TREE INTERVENTIONAL PAIN MANAGEMENT, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

PALM TREE INTERVENTIONAL PAIN MANAGEMENT, PLLC 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.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act
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: 27 Oct 2016 (9 years ago)
Document Number: L16000198580
FEI/EIN Number 81-4290198

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 2801 17th street, ST CLOUD, FL, 34769, US
Mail Address: 2801 17TH STREET, SAINT CLOUD, FL, 34769, US
ZIP code: 34769
City: Saint Cloud
County: Osceola
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
SONG JASON Authorized Member 2801 17TH STREET, SAINT CLOUD, FL, 34769
- Agent -

National Provider Identifier

NPI Number:
1336682764
Certification Date:
2020-10-01
Link:
View on NPI website

Authorized Person:

Name:
JASON JEONG HWAN SONG
Role:
MEDICAL DIRECTOR
Phone:
2673129857

Taxonomy:

Selected Taxonomy:
208100000X - Physical Medicine & Rehabilitation Physician
Is Primary:
No
Selected Taxonomy:
208VP0014X - Interventional Pain Medicine Physician
Is Primary:
No
Selected Taxonomy:
2081P2900X - Pain Medicine (Physical Medicine & Rehabilitation) Physician
Is Primary:
Yes

Contacts:

Phone:
+1 407-906-1328
Fax:
8664258143

Form 5500 Series

Employer Identification Number (EIN):
814290198
Plan Year:
2023
Number Of Participants:
14
Sponsors Telephone Number:
4079061328
File:
View File
Plan Year:
2022
Number Of Participants:
14
Sponsors Telephone Number:
4079061328
File:
View File
Plan Year:
2021
Number Of Participants:
11
Sponsors Telephone Number:
4079061328
File:
View File
Plan Year:
2020
Number Of Participants:
7
Sponsors Telephone Number:
4079061328
File:
View File

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000011317 ALOHA ANTI-AGING INSTITUTE ACTIVE 2024-01-19 2029-12-31 - 2801 17TH ST., STE. 201, SAINT CLOUD, FL, 34769
G24000011322 ALOE ANTI-AGING INSTITUTE ACTIVE 2024-01-19 2029-12-31 - 2801 17TH ST STE 201, SAINT CLOUD, FL, 34769
G20000108293 PALM TREE PHYSICAL THERAPY ACTIVE 2020-08-21 2025-12-31 - 2029 HICKORY TREE RD, ST. CLOUD, FL, 34772

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2023-02-02 476 RIVERSIDE AVE., JACKSONVILLE, FL 32202 -
CHANGE OF PRINCIPAL ADDRESS 2020-10-07 2801 17th street, unit 202, ST CLOUD, FL 34769 -
CHANGE OF MAILING ADDRESS 2020-10-02 2801 17th street, unit 202, ST CLOUD, FL 34769 -

Documents

Name Date
ANNUAL REPORT 2025-01-11
ANNUAL REPORT 2024-01-19
ANNUAL REPORT 2023-01-19
ANNUAL REPORT 2022-01-24
ANNUAL REPORT 2021-01-18
ANNUAL REPORT 2020-01-17
ANNUAL REPORT 2019-02-08
ANNUAL REPORT 2018-03-09
ANNUAL REPORT 2017-04-26
Florida Limited Liability 2016-10-27

USAspending Awards / Financial Assistance

Date:
2020-05-30
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
150000.00
Total Face Value Of Loan:
150000.00
Date:
2020-04-23
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-16
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
136100.00
Total Face Value Of Loan:
136100.00

Trademarks

Serial Number:
97154759
Mark:
PALM TREE INTERVENTIONAL PAIN MANAGEMENT
Status:
REGISTERED
Mark Type:
SERVICE MARK
Application Filing Date:
2021-12-03
Mark Drawing Type:
Illustration: Drawing or design which also includes word(s)/letter(s)/number(s)
Mark Literal Elements:
PALM TREE INTERVENTIONAL PAIN MANAGEMENT
USPTO Link:
View Trademark on United States Patent and Trademark Office Website

Goods And Services

For:
Medical services
International Classes:
044 - Primary Class
Class Status:
Active
Serial Number:
90092608
Mark:
PALM TREE INTERVENTIONAL PAIN MANAGEMENT
Status:
REGISTERED
Mark Type:
SERVICE MARK
Application Filing Date:
2020-08-04
Mark Drawing Type:
Standard character mark
Mark Literal Elements:
PALM TREE INTERVENTIONAL PAIN MANAGEMENT
USPTO Link:
View Trademark on United States Patent and Trademark Office Website

Goods And Services

For:
Medical services
First Use:
2017-02-01
International Classes:
044 - Primary Class
Class Status:
Active
Serial Number:
88595888
Mark:
PALM TREE INTERVENTIONAL PAIN MANAGEMENT
Status:
ABANDONED - NO STATEMENT OF USE FILED
Mark Type:
SERVICE MARK
Application Filing Date:
2019-08-28
Mark Drawing Type:
Illustration: Drawing or design which also includes word(s)/letter(s)/number(s)
Mark Literal Elements:
PALM TREE INTERVENTIONAL PAIN MANAGEMENT
USPTO Link:
View Trademark on United States Patent and Trademark Office Website

Goods And Services

For:
Hospital services
International Classes:
044 - Primary Class
Class Status:
Active

Paycheck Protection Program

Jobs Reported:
21
Initial Approval Amount:
$136,100
Date Approved:
2020-04-16
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$136,100
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$137,116.97
Servicing Lender:
PNC Bank, National Association
Use of Proceeds:
Payroll: $136,100

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Date of last update: 01 Jul 2025

Sources: Florida Department of State

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