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REGENERATIVE MEDICINE AND PAIN MANAGEMENT PHYSICIANS, PLLC

REGENERATIVE MEDICINE AND PAIN MANAGEMENT PHYSICIANS, PLLC

Company Details

Entity Name:	REGENERATIVE MEDICINE AND PAIN MANAGEMENT PHYSICIANS, PLLC
Jurisdiction:	FLORIDA
Filing Type:	Florida Limited Liability Co.
Status:	Active
Date Filed:	10 Mar 2017 (8 years ago)
Last Event:	REINSTATEMENT
Event Date Filed:	28 Oct 2019 (5 years ago)
Document Number:	L17000055111
FEI/EIN Number	82-0778655
Address:	3406 Santa Rosa Drive, GULF BREEZE, FL, 32563, US
Mail Address:	P.O. Box 30332, Pensacola, FL, 32503, US
ZIP code:	32563
County:	Santa Rosa
Place of Formation:	FLORIDA

National Provider Identifier

NPI

Enumeration Date

Last Update Date

Mailing Address

Practice Location Address

1245764554

2017-04-13

2022-07-21

PO BOX 30332, PENSACOLA, FL, 325031332, US

3406 SANTA ROSA DR, GULF BREEZE, FL, 325635665, US

Contacts

Phone	+1 850-462-4544
Fax	8507773166

Authorized person

Name	RUBEN TIMMONS
Role	OWNER
Phone	8504624544

Taxonomy

Taxonomy Code	208VP0014X - Interventional Pain Medicine Physician
License Number	ME42993
State	FL
Is Primary	Yes

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

REGENERATIVE MEDICINE AND PAIN MANAGEMENT PHYSICIANS, PLLC 401(K) PLAN

2023

820778655

2024-08-12

REGENERATIVE MEDICINE AND PAIN MANAGEMENT PHYSICIANS, PLLC

9

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2019-01-01
Business code	621111
Sponsor’s telephone number	8504624544
Plan sponsor’s address	3406 SANTA ROSA DRIVE, GULF BREEZE, FL, 32563

REGENERATIVE MEDICINE AND PAIN MANAGEMENT PHYSICIANS, PLLC 401(K) PLAN

2022

820778655

2023-04-19

REGENERATIVE MEDICINE AND PAIN MANAGEMENT PHYSICIANS, PLLC

9

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2019-01-01
Business code	621111
Sponsor’s telephone number	8504624544
Plan sponsor’s address	3406 SANTA ROSA DRIVE, GULF BREEZE, FL, 32563

REGENERATIVE MEDICINE AND PAIN MANAGEMENT PHYSICIANS, PLLC 401(K) PLAN

2021

820778655

2022-07-28

REGENERATIVE MEDICINE AND PAIN MANAGEMENT PHYSICIANS, PLLC

11

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2019-01-01
Business code	621111
Sponsor’s telephone number	8504624544
Plan sponsor’s address	3406 SANTA ROSA DRIVE, GULF BREEZE, FL, 32563

REGENERATIVE MEDICINE AND PAIN MANAGEMENT PHYSICIANS, PLLC 401(K) PLAN

2020

820778655

2021-07-12

REGENERATIVE MEDICINE AND PAIN MANAGEMENT PHYSICIANS, PLLC

5

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2019-01-01
Business code	621111
Sponsor’s telephone number	8504624544
Plan sponsor’s address	3406 SANTA ROSA DRIVE, GULF BREEZE, FL, 32563

REGENERATIVE MEDICINE AND PAIN MANAGEMENT PHYSICIANS, PLLC 401(K) PLAN

2019

820778655

2020-06-03

REGENERATIVE MEDICINE AND PAIN MANAGEMENT PHYSICIANS, PLLC

5

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2019-01-01
Business code	621111
Sponsor’s telephone number	8504624544
Plan sponsor’s address	3406 SANTA ROSA DRIVE, GULF BREEZE, FL, 32563

Agent

Name	Role	Address
TIMMONS RUBEN BM.D.	Agent	3406 Santa Rosa Drive, GULF BREEZE, FL, 32563

Manager

Name	Role	Address
TIMMONS RUBEN BM.D.	Manager	3406 Santa Rosa Drive, GULF BREEZE, FL, 32563

Events

Event Type	Filed Date	Value	Description
CHANGE OF MAILING ADDRESS	2020-01-13	3406 Santa Rosa Drive, GULF BREEZE, FL 32563	No data
REGISTERED AGENT ADDRESS CHANGED	2020-01-13	3406 Santa Rosa Drive, GULF BREEZE, FL 32563	No data
REINSTATEMENT	2019-10-28	No data	No data
CHANGE OF PRINCIPAL ADDRESS	2019-10-28	3406 Santa Rosa Drive, GULF BREEZE, FL 32563	No data
REGISTERED AGENT NAME CHANGED	2019-10-28	TIMMONS, RUBEN B, M.D.	No data
ADMIN DISSOLUTION FOR ANNUAL REPORT	2019-09-27	No data	No data

Documents

Name	Date
ANNUAL REPORT	2025-01-16
ANNUAL REPORT	2024-02-10
ANNUAL REPORT	2023-01-09
ANNUAL REPORT	2022-01-23
ANNUAL REPORT	2021-01-04
ANNUAL REPORT	2020-01-13
REINSTATEMENT	2019-10-28
ANNUAL REPORT	2018-03-14
Florida Limited Liability	2017-03-10

Date of last update: 01 Feb 2025

Sources: Florida Department of State