| Entity Name: | INTERVENTIONAL PAIN PROFESSIONALS WC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 19 Oct 2021 (3 years ago) |
| Document Number: | L21000456002 |
| FEI/EIN Number | 87-3187954 |
| Address: | 3555 KRAFT ROAD, SUITE 280, NAPLES, FL, 34105 |
| Mail Address: | 3555 KRAFT ROAD, SUITE 280, NAPLES, FL, 34105 |
| ZIP code: | 34105 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124782172 | 2021-10-26 | 2021-10-26 | 3555 KRAFT RD UNIT 280, NAPLES, FL, 341055098, US | 3555 KRAFT RD UNIT 280, NAPLES, FL, 341055098, US | |||||||||||||
|
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| Phone | +1 239-367-7470 |
Authorized person
| Name | DR. JAMES PADULA |
| Role | OWNER |
| Phone | 2393677470 |
Taxonomy
| Taxonomy Code | 208VP0014X - Interventional Pain Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PADULA JAMES | Agent | 3555 KRAFT ROAD, NAPLES, FL, 34105 |
| Name | Role | Address |
|---|---|---|
| PADULA JAMES | President | 9109 Baymeadows Road, Unit 4, Jacksonville, FL, 32256 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-25 |
| ANNUAL REPORT | 2023-07-14 |
| AMENDED ANNUAL REPORT | 2022-04-11 |
| ANNUAL REPORT | 2022-01-31 |
| Florida Limited Liability | 2021-10-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
