| Entity Name: | COMPREHENSIVE PAIN MANAGEMENT AND REHABILITATION LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 02 Jul 2021 (4 years ago) |
| Document Number: | L21000304996 |
| FEI/EIN Number | 87-1520955 |
| Mail Address: | 4871 SW 63RD ST, OCALA, FL, 34474, US |
| Address: | 10238 SW 86TH CIRCLE, OCALA, FL, 34481, US |
| ZIP code: | 34481 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316646912 | 2023-03-02 | 2023-05-12 | 10238 SW 86TH CIR UNIT 300, OCALA, FL, 344817625, US | 10238 SW 86TH CIR UNIT 300, OCALA, FL, 344817625, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 352-873-1011 |
| Fax | 3528731017 |
Authorized person
| Name | DR. CHAYAPATHY M JOLLU |
| Role | OWNER |
| Phone | 3528731011 |
Taxonomy
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| Is Primary | No |
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 261QP3300X - Pain Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Jollu Maddanna Chaya DR. | Agent | 4871 SW 63RD ST, OCALA, FL, 34474 |
| Name | Role | Address |
|---|---|---|
| FRANCO SANABRIA RINA M | Manager | 4871 SW 63RD ST, OCALA, FL, 34474 |
| Name | Role | Address |
|---|---|---|
| Jollu MADDANNA C | Authorized Member | 4871 SW 63RD ST, OCALA, FL, 34474 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-01-05 | Jollu, Maddanna Chayapathy, DR. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-10 | 10238 SW 86TH CIRCLE, SUITE 300, OCALA, FL 34481 | No data |
| CHANGE OF MAILING ADDRESS | 2023-01-10 | 10238 SW 86TH CIRCLE, SUITE 300, OCALA, FL 34481 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-10 | 4871 SW 63RD ST, OCALA, FL 34474 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-10 |
| ANNUAL REPORT | 2024-01-05 |
| ANNUAL REPORT | 2023-01-10 |
| AMENDED ANNUAL REPORT | 2022-09-07 |
| ANNUAL REPORT | 2022-03-05 |
| Florida Limited Liability | 2021-07-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
