| Entity Name: | TALLAHASSEE PAIN SOLUTIONS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 03 Apr 2017 (8 years ago) |
| Document Number: | L17000075125 |
| FEI/EIN Number | 82-1044269 |
| Mail Address: | 9044 SE Bridge Rd, Hobe Sound, FL 33455 |
| Address: | 2910 Capital Medical Blvd, Tallahassee, FL 32308 |
| ZIP code: | 32308 |
| County: | Leon |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720511090 | 2017-04-04 | 2017-04-04 | 8925 SE BRIDGE RD, HOBE SOUND, FL, 334555312, US | 1224 OCALA RD, TALLAHASSEE, FL, 323041548, US | |||||||||||||||
|
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| Phone | +1 772-263-1642 |
| Phone | +1 772-546-9591 |
Authorized person
| Name | JENEANE WAKULA |
| Role | OFFICE MANAGER |
| Phone | 7722631642 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MARUCCI, JASON T | Agent | 428 Oxford Estates Way, Saint Johns, FL 32259 |
| Name | Role |
|---|---|
| JM MEDICAL GROUP, LLC | Manager |
| NYS CONSULTING, LLC | Manager |
| PAIN SOLUTIONS OF TALLAHASSEE, P.A. | Manager |
| CSTS HEALTH SOLUTIONS, LLC | Manager |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000063850 | MEDICUS SPINE & JOINT | ACTIVE | 2020-06-08 | 2025-12-31 | No data | 9191 R G SKINNER PARKWAY, UNIT 901, JACKSONVILLE, FL, 32256 |
| G19000117418 | TALLAHASSEE ORTHOPEDIC & PAIN CENTER | EXPIRED | 2019-10-31 | 2024-12-31 | No data | 107 LEATHER LEAF DRIVE, JUPITER, FL, 33458 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-01-19 | 2910 Capital Medical Blvd, Tallahassee, FL 32308 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-06-30 | 428 Oxford Estates Way, Saint Johns, FL 32259 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-02-08 | 2910 Capital Medical Blvd, Tallahassee, FL 32308 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-19 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-05-04 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-02-08 |
| ANNUAL REPORT | 2018-01-16 |
| Florida Limited Liability | 2017-04-03 |
Date of last update: 19 Jan 2025
Sources: Florida Department of State
