| Entity Name: | PAIN CENTERS OF SOUTHWEST FLORIDA L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 Dec 2019 (5 years ago) |
| Document Number: | L19000303099 |
| FEI/EIN Number | 84-4029759 |
| Address: | 515 CAPE CORAL PARKWAY, CAPE CORAL, FL, 33904, US |
| Mail Address: | 15620 MCGREGOR BLVD, SUITE 100, FT. MYERS, FL, 33908, US |
| ZIP code: | 33904 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629769260 | 2023-05-16 | 2023-05-16 | 515 CAPE CORAL PKWY E, CAPE CORAL, FL, 339048545, US | 515 CAPE CORAL PKWY E, CAPE CORAL, FL, 339048545, US | |||||||||||||
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| Phone | +1 239-420-7246 |
Authorized person
| Name | ANTHONY LEONARD |
| Role | OWNER |
| Phone | 2398986872 |
Taxonomy
| Taxonomy Code | 208VP0000X - Pain Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WOLEK EMILY S | Agent | 16540 BENT PALMS COVE #3, FT MYERS, FL, 33908 |
| Name | Role | Address |
|---|---|---|
| WOLEK EMILY S | Manager | 16540 Bent Palms Cove #3, Fort Myers, FL, 33908 |
| LEONARD ANTHONY M | Manager | 11581 Isle of Palms Dr, FT MYERS BEACH, FL, 33931 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-03-31 | 515 CAPE CORAL PARKWAY, CAPE CORAL, FL 33904 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-06-30 | WOLEK, EMILY S | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-06-30 | 16540 BENT PALMS COVE #3, FT MYERS, FL 33908 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-13 |
| ANNUAL REPORT | 2023-03-22 |
| ANNUAL REPORT | 2022-04-22 |
| ANNUAL REPORT | 2021-04-14 |
| ANNUAL REPORT | 2020-06-30 |
| Florida Limited Liability | 2019-12-17 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
