| Entity Name: | SUNSHINE INTERVENTIONAL PAIN AND WELLNESS CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 08 Sep 2021 (3 years ago) |
| Date of dissolution: | 01 May 2024 (9 months ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 01 May 2024 (9 months ago) |
| Document Number: | L21000398378 |
| FEI/EIN Number | 87-2568850 |
| Mail Address: | 297 East Hwy. 50, Suite 1, Clermont, FL 34711 |
| Address: | 297 EAST HWY 50, SUITE 1, CLERMONT, FL 34711 |
| ZIP code: | 34711 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1669123113 | 2022-01-17 | 2022-07-20 | 2017 E 9TH ST UNIT 1706F, CLEVELAND, OH, 441151335, US | 260 LOOKOUT PL STE 202, MAITLAND, FL, 327514485, US | |||||||||||||||||||
|
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| Phone | +1 813-928-8037 |
| Phone | +1 689-208-0092 |
Authorized person
| Name | DR. TODD MAUTNER |
| Role | MANAGING MEMBER |
| Phone | 6892080092 |
Taxonomy
| Taxonomy Code | 207LP2900X - Pain Medicine (Anesthesiology) Physician |
| Is Primary | No |
| Taxonomy Code | 208VP0014X - Interventional Pain Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Mautner, Todd W | Agent | 297 East Hwy. 50, Suite 1, Clermont, FL 34711 |
| Name | Role | Address |
|---|---|---|
| Mautner, Todd W | Authorized Member | 297 East Hwy. 50, Suite 1 Clermont, FL 34711 |
| Goel, Sameer K | Authorized Member | 297 East Hwy. 50, Suite 1 Clermont, FL 34711 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000129003 | SYNAPTX INFUSION | ACTIVE | 2022-10-14 | 2027-12-31 | No data | 1317 EDGEWATER DR. #4709, ORLANDO, FL, 32804 |
| G22000064285 | SUNSHINE INTERVENTIONAL PAIN AND WELLNESS CENTER | ACTIVE | 2022-05-23 | 2027-12-31 | No data | 1317 EDGEWATER DR., #4709, ORLANDO, FL, 32804 |
| G22000063765 | SUNSHINE INTERVENTIONAL PAIN | ACTIVE | 2022-05-22 | 2027-12-31 | No data | 1317 EDGEWATER DR., #4709, ORLANDO, FL, 32804 |
| G22000033191 | SUNSHINE INFUSION CENTERS | ACTIVE | 2022-03-13 | 2027-12-31 | No data | 1317 EDGEWATER DR., #4709, ORLANDO, FL, 32804 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-05-01 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2023-01-26 | 297 EAST HWY 50, SUITE 1, CLERMONT, FL 34711 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-01-26 | Mautner, Todd W | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-26 | 297 East Hwy. 50, Suite 1, Clermont, FL 34711 | No data |
| LC AMENDMENT | 2022-07-18 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-07-08 | 297 EAST HWY 50, SUITE 1, CLERMONT, FL 34711 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-05-01 |
| ANNUAL REPORT | 2023-01-26 |
| LC Amendment | 2022-07-18 |
| ANNUAL REPORT | 2022-04-23 |
| Florida Limited Liability | 2021-09-08 |
Date of last update: 13 Jan 2025
Sources: Florida Department of State
