| Entity Name: | PAIN INTERVENTION ASSOCIATES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 23 Oct 2020 (4 years ago) |
| Document Number: | L20000336582 |
| FEI/EIN Number | 85-3738755 |
| Address: | 777 37TH STREET, SUITE C-103, VERO BEACH, FL 32960 |
| Mail Address: | 777 37TH STREET, SUITE C-103, VERO BEACH, FL 32960 |
| ZIP code: | 32960 |
| County: | Indian River |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609477934 | 2020-11-03 | 2022-04-04 | 777 37TH ST STE C103, VERO BEACH, FL, 329607301, US | 777 37TH ST STE C103, VERO BEACH, FL, 329607301, US | |||||||||||||||||
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| Phone | +1 772-971-6096 |
| Fax | 9495614251 |
| Phone | +1 561-352-7413 |
Authorized person
| Name | DR. JESSICA ANNE OLSEN |
| Role | MD |
| Phone | 7729716096 |
Taxonomy
| Taxonomy Code | 261QP3300X - Pain Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| OLSEN, JESSICA Anne, MD | Agent | 777 37TH STREET, SUITE C-103, VERO BEACH, FL 32960 |
| Name | Role | Address |
|---|---|---|
| Olsen, Jessica Anne, MD | Authorized Representative | 777 37TH STREET, SUITE C-103 VERO BEACH, FL 32960 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-16 | 777 37TH STREET, SUITE C-103, VERO BEACH, FL 32960 | No data |
| CHANGE OF MAILING ADDRESS | 2021-10-05 | 777 37TH STREET, SUITE C-103, VERO BEACH, FL 32960 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-08-30 | 777 37TH STREET, SUITE C-103, VERO BEACH, FL 32960 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-02-05 | OLSEN, JESSICA Anne, MD | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-09 |
| ANNUAL REPORT | 2024-01-26 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-03-16 |
| ANNUAL REPORT | 2021-02-05 |
| Florida Limited Liability | 2020-10-23 |
Date of last update: 14 Feb 2025
Sources: Florida Department of State
