| Entity Name: | PAIN, SPINE AND WELLNESS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
PAIN, SPINE AND WELLNESS LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 28 May 2019 (6 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 02 Nov 2024 (6 months ago) |
| Document Number: | L19000141205 |
| FEI/EIN Number |
84-1932443
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 9770 BAYMEADOWS RD, JACKSONVILLE, FL, 32256, US |
| Mail Address: | 9770 BAYMEADOWS RD, JACKSONVILLE, FL, 32256, US |
| ZIP code: | 32256 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942868377 | 2019-05-31 | 2024-11-07 | 10689 TOWN VIEW DR, JACKSONVILLE, FL, 322564026, US | 9770 OLD BAYMEADOWS RD STE 141, JACKSONVILLE, FL, 322567986, US | |||||||||||||||||||||||
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| Phone | +1 904-944-2124 |
| Fax | 8882413383 |
Authorized person
| Name | SOURIAL MORRIS SOURIAL |
| Role | PRESIDENT |
| Phone | 9049442124 |
Taxonomy
| Taxonomy Code | 207QA0505X - Adult Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 208VP0000X - Pain Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| SOURIAL SOURIAL M | Manager | 9770 BAYMEADOWS RD, JACKSONVILLE, FL, 32256 |
| SOURIAL SOURIAL M | Agent | 9770 BAYMEADOWS RD, JACKSONVILLE, FL, 32256 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-11-02 | SOURIAL, SOURIAL MORRIS | - |
| REINSTATEMENT | 2024-11-02 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2020-10-09 | 9770 BAYMEADOWS RD, SUITE 141, JACKSONVILLE, FL 32256 | - |
| CHANGE OF MAILING ADDRESS | 2020-09-25 | 9770 BAYMEADOWS RD, SUITE 141, JACKSONVILLE, FL 32256 | - |
| LC AMENDMENT | 2020-09-25 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2020-09-25 | 9770 BAYMEADOWS RD, SUITE 141, JACKSONVILLE, FL 32256 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-11 |
| REINSTATEMENT | 2024-11-02 |
| ANNUAL REPORT | 2021-01-28 |
| LC Amendment | 2020-09-25 |
| ANNUAL REPORT | 2020-02-06 |
| Florida Limited Liability | 2019-05-28 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
