| Entity Name: | EDUARDO JUSINO, MD LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 28 Mar 2018 (7 years ago) |
| Document Number: | L18000079838 |
| FEI/EIN Number | 82-5012837 |
| Address: | 3918 Via Poinciana Dr Suite #8, Lake worth, FL 33467 |
| Mail Address: | PO Box 542138, greenacres, FL 33454 |
| ZIP code: | 33467 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851898936 | 2018-04-06 | 2023-05-04 | 9835 LAKE WORTH RD # 16-235, LAKE WORTH, FL, 334672300, US | 3918 VIA POINCIANA STE 8, LAKE WORTH, FL, 334672991, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 561-568-6463 |
| Fax | 8667269519 |
Authorized person
| Name | EDUARDO JUSINO |
| Role | OWNER |
| Phone | 7874571713 |
Taxonomy
| Taxonomy Code | 207LP2900X - Pain Medicine (Anesthesiology) Physician |
| License Number | ME127978 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JUSINO, EDUARDO | Agent | 4299 HUNTING TRAIL, LAKE WORTH, FL 33467 |
| Name | Role | Address |
|---|---|---|
| JUSINO, EDUARDO | Manager | 4299 HUNTING TRAIL, LAKE WORTH, FL 33467 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000083230 | ADVANCED INTERVENTIONAL PAIN INSTITUTE | ACTIVE | 2019-08-06 | 2029-12-31 | No data | 4299 HUNTING TRAIL, LAKE WORTH, FL, 33467 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-02-13 | 3918 Via Poinciana Dr Suite #8, Lake worth, FL 33467 | No data |
| CHANGE OF MAILING ADDRESS | 2023-02-13 | 3918 Via Poinciana Dr Suite #8, Lake worth, FL 33467 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-18 |
| ANNUAL REPORT | 2023-04-03 |
| ANNUAL REPORT | 2022-04-01 |
| ANNUAL REPORT | 2021-02-26 |
| ANNUAL REPORT | 2020-06-19 |
| ANNUAL REPORT | 2019-04-30 |
| Florida Limited Liability | 2018-03-28 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1939917200 | 2020-04-15 | 0455 | PPP | STE 340 1397 MEDICAL PARK BLVD, WELLINGTON, FL, 33414-3188 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Date of last update: 17 Feb 2025
Sources: Florida Department of State
