| Entity Name: | PMC KNEE PAIN & RESTORATION, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 12 Jun 2017 (8 years ago) |
| Document Number: | L17000127273 |
| FEI/EIN Number | 82-1933078 |
| Mail Address: | 6903 Fairbrook Way, TAMPA, FL, 33634, US |
| Address: | 200 SW 8TH STREET, SUITE A, OCALA, FL, 34471 |
| ZIP code: | 34471 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780192112 | 2018-01-19 | 2018-06-18 | 200 SW 8TH ST STE A, OCALA, FL, 344710952, US | 200 SW 8TH ST STE A, OCALA, FL, 34471, US | |||||||||||||||||||
|
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| Phone | +1 352-369-0104 |
| Fax | 3523690107 |
Authorized person
| Name | ASHLEY L MORERA |
| Role | CEO |
| Phone | 8134823348 |
Taxonomy
| Taxonomy Code | 2083X0100X - Occupational Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Padgett ASHLEY L | Agent | 6903 Fairbrook Way, TAMPA, FL, 33634 |
| Name | Role | Address |
|---|---|---|
| Padgett ASHLEY | Manager | 6903 Fairbrook Way, TAMPA, FL, 33634 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2025-01-02 | Padgett , ASHLEY L | No data |
| CHANGE OF MAILING ADDRESS | 2022-02-09 | 200 SW 8TH STREET, SUITE A, OCALA, FL 34471 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-02-09 | 6903 Fairbrook Way, TAMPA, FL 33634 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-02 |
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-01-28 |
| ANNUAL REPORT | 2022-02-09 |
| ANNUAL REPORT | 2021-02-02 |
| ANNUAL REPORT | 2020-01-14 |
| ANNUAL REPORT | 2019-02-04 |
| ANNUAL REPORT | 2018-01-12 |
| Florida Limited Liability | 2017-06-12 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
