| Entity Name: | PRECISION PAIN, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 20 Apr 2022 (3 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 14 Nov 2022 (2 years ago) |
| Document Number: | L22000165495 |
| FEI/EIN Number | 88-1897333 |
| Mail Address: | 1425 E Venice Ave, Suite 104, #279, Venice, FL 34292 |
| Address: | 3200 Bailey Lane, #106, Naples, FL 34105 |
| ZIP code: | 34105 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154066942 | 2022-05-05 | 2023-06-27 | 1470-A ROYAL PALM BEACH BLVD, ROYAL PALM BEACH, FL, 33411, US | 4 HARVARD CIR STE 700, WEST PALM BEACH, FL, 334091989, US | |||||||||||||
|
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| Phone | +1 561-422-1819 |
Authorized person
| Name | TIMOTHY DECANIO |
| Role | OWNER |
| Phone | 5614221819 |
Taxonomy
| Taxonomy Code | 208VP0000X - Pain Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TIMOTHY DECANIO | Agent | 1425 E Venice Ave, Suite 104, #279, Venice, FL 34292 |
| Name | Role | Address |
|---|---|---|
| JOSEPH, JEREMIAH | Authorized Representative | 1425 E Venice Ave, Suite 104, #279 Venice, FL 34292 |
| DECANIO, TIM | Authorized Representative | 1425 E Venice Ave, Suite 104, #279 Venice, FL 34292 |
| Name | Role | Address |
|---|---|---|
| REJUVENX HOLDINGS, LLC | Manager | 1425 E Venice Ave, Suite 104, #279 Venice, FL 34292 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000032507 | REJUVENX | ACTIVE | 2023-03-10 | 2028-12-31 | No data | 1470 ROYAL PALM BEACH BLVD., SUITE A, ROYAL PALM BEACH, FL, 33411 |
| G23000032511 | REJUVENX | ACTIVE | 2023-03-10 | 2028-12-31 | No data | 1470 ROYAL PALM BEACH BLVD., SUITE A, ROYAL PALM BEACH, FL, 33411 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-09-19 | 3200 Bailey Lane, #106, Naples, FL 34105 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-30 | 3200 Bailey Lane, #106, Naples, FL 34105 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-30 | 1425 E Venice Ave, Suite 104, #279, Venice, FL 34292 | No data |
| LC AMENDMENT | 2022-11-14 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-12 |
| LC Amendment | 2022-11-14 |
| Florida Limited Liability | 2022-04-20 |
Date of last update: 12 Jan 2025
Sources: Florida Department of State
