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ORLANDO PAIN CENTERS OF EXCELLENCE LLC - Florida Company Profile

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Company Details

Entity Name: ORLANDO PAIN CENTERS OF EXCELLENCE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 09 Sep 2021 (4 years ago)
Document Number: L21000401496
FEI/EIN Number 87-2718389
Address: 515 West State Rd 434 Suite 201, Longwood, FL, 32750, US
Mail Address: 515 West State Road 434, Suite 201, Longwood, FL, 32750, US
ZIP code: 32750
City: Longwood
County: Seminole
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
GERNERT JOHN O President 4119 WARDELL PLACE, ORLANDO, FL, 32814
GERNERT KIMBERLEY Agent 4119 WARDELL PLACE, ORLANDO, FL, 32814

National Provider Identifier

NPI Number:
1659031326
Certification Date:
2021-12-22

Authorized Person:

Name:
JOHN GERNERT
Role:
MD
Phone:

Taxonomy:

Selected Taxonomy:
207L00000X - Anesthesiology Physician
Is Primary:
No
Selected Taxonomy:
208VP0014X - Interventional Pain Medicine Physician
Is Primary:
No
Selected Taxonomy:
207T00000X - Neurological Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
4077451005

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-01-20 GERNERT, KIMBERLEY -
CHANGE OF MAILING ADDRESS 2023-01-31 515 West State Rd 434 Suite 201, Longwood, FL 32750 -
CHANGE OF PRINCIPAL ADDRESS 2022-03-09 515 West State Rd 434 Suite 201, Longwood, FL 32750 -

Documents

Name Date
ANNUAL REPORT 2024-01-20
ANNUAL REPORT 2023-01-31
ANNUAL REPORT 2022-03-09
Florida Limited Liability 2021-09-09

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Date of last update: 02 Aug 2025

Sources: Florida Department of State