| Entity Name: | MMCO PAIN MANAGEMENT LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 30 Nov 2021 (3 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 02 Nov 2022 (2 years ago) |
| Document Number: | L21000507646 |
| FEI/EIN Number | 873807646 |
| Address: | 1800 N FEDERAL HWY, SUITE 105, POMPANO BEACH, FL, 33062, US |
| Mail Address: | 1800 N FEDERAL HWY, SUITE 105, POMPANO BEACH, FL, 33062, US |
| ZIP code: | 33062 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396404836 | 2021-12-13 | 2023-09-20 | 1800 N FEDERAL HWY STE 105, POMPANO BEACH, FL, 330621011, US | 1800 N FEDERAL HWY STE 105, POMPANO BEACH, FL, 330621011, US | |||||||||||||||||||||||||||
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| Phone | +1 954-934-9856 |
| Fax | 9549349464 |
Authorized person
| Name | DR. MARIA MERCEDES CRISTANCHO |
| Role | OWNER |
| Phone | 9549349856 |
Taxonomy
| Taxonomy Code | 207LP2900X - Pain Medicine (Anesthesiology) Physician |
| Is Primary | No |
| Taxonomy Code | 208VP0000X - Pain Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 208VP0014X - Interventional Pain Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 261QP3300X - Pain Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Cristancho Maria Dr. | Agent | 1800 N FEDERAL HWY, POMPANO BEACH, FL, 33062 |
| Name | Role | Address |
|---|---|---|
| CRISTANCHO MARIA M | Manager | 1800 N FEDERAL HWY STE 105, POMPANO BEACH, FL, 33062 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000159818 | POMPANO PAIN | ACTIVE | 2021-12-02 | 2026-12-31 | No data | 1800 N FEDERAL HWY, SUITE 105, POMPANO BEACH, FL, 33062 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2025-01-07 | Cristancho, Maria, Dr. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2025-01-07 | 1800 N FEDERAL HWY, SUITE 105, POMPANO BEACH, FL 33062 | No data |
| REINSTATEMENT | 2022-11-02 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2022-11-02 | NELPI SERVICES INC | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-07 |
| ANNUAL REPORT | 2024-01-05 |
| ANNUAL REPORT | 2023-01-19 |
| REINSTATEMENT | 2022-11-02 |
| Florida Limited Liability | 2021-11-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
