| Entity Name: | PRECISION PAIN MEDICAL CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 27 Apr 2017 (8 years ago) |
| Date of dissolution: | 22 Aug 2023 (a year ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 22 Aug 2023 (a year ago) |
| Document Number: | L17000093793 |
| FEI/EIN Number | 82-1346070 |
| Address: | 6811 PORTO FINO CIRCLE, FORT MYERS, FL 33912 |
| Mail Address: | 6811 PORTO FINO CIRCLE, FORT MYERS, FL 33912 |
| ZIP code: | 33912 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194251611 | 2017-05-03 | 2017-05-03 | 6811 PORTO FINO CIR, FORT MYERS, FL, 339124354, US | 6811 PORTO FINO CIR, FORT MYERS, FL, 339124354, US | |||||||||||||||||||||||
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| Phone | +1 239-431-4625 |
Authorized person
| Name | DR. ALEXANDER J MARTINEZ |
| Role | OWNER |
| Phone | 3059795558 |
Taxonomy
| Taxonomy Code | 2081P2900X - Pain Medicine (Physical Medicine & Rehabilitation) Physician |
| License Number | ME 118705 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | LICENSE |
| Number | ME 118705 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MARTINEZ, ALEXANDER J | Agent | 6811 PORTO FINO CIRCLE, FORT MYERS, FL 33912 |
| Name | Role | Address |
|---|---|---|
| MARTINEZ, ALEXANDER J | Authorized Member | 6811 PORTO FINO CIRCLE, FORT MYERS, FL 33912 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2023-08-22 | No data | No data |
| LC AMENDMENT | 2017-10-13 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2023-08-22 |
| ANNUAL REPORT | 2023-01-20 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-01-08 |
| ANNUAL REPORT | 2020-05-18 |
| ANNUAL REPORT | 2019-05-02 |
| ANNUAL REPORT | 2018-03-04 |
| LC Amendment | 2017-10-13 |
| Florida Limited Liability | 2017-04-27 |
Date of last update: 19 Jan 2025
Sources: Florida Department of State
