| Entity Name: | HAWTHORNE ONCOLOGY PAIN EXPERTS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 26 Sep 2022 (2 years ago) |
| Document Number: | L22000417329 |
| FEI/EIN Number | 920508028 |
| Address: | 2727 W MARTIN LUTHER KING BLVD, STE 520, TAMPA, FL, 33607, US |
| Mail Address: | 2727 W MARTIN LUTHER KING BLVD, STE 520, TAMPA, FL, 33607, US |
| ZIP code: | 33607 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558087056 | 2022-10-17 | 2023-02-14 | 2727 W MLK BLVD STE 520, TAMPA, FL, 336076000, US | 2727 WEST MARTIN LUTHER KING BLVD, SUITE 520, TAMPA, FL, 33607, US | |||||||||||||||||||||
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| Phone | +1 813-538-7600 |
| Fax | 8135387600 |
| Phone | +1 215-779-9999 |
Authorized person
| Name | EDWARD PODGORSKI III |
| Role | OWNER |
| Phone | 2157799999 |
Taxonomy
| Taxonomy Code | 207LP2900X - Pain Medicine (Anesthesiology) Physician |
| Is Primary | No |
| Taxonomy Code | 208VP0014X - Interventional Pain Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ARCE CARLOS HESQ. | Agent | 151 NW 1ST AVENUE, DELRAY BEACH, FL, 33444 |
| Name | Role | Address |
|---|---|---|
| Podgorski Edward MM.D. | Authorized Manager | 777 North Ashley Dr Apt 2602, Tampa, FL, 336024381 |
| Name | Role | Address |
|---|---|---|
| Podgorski Edward A | Manager | 777 North Ashley Dr Apt 2602, Tampa, FL, 336024381 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-19 | 2727 W MARTIN LUTHER KING BLVD, STE 520, TAMPA, FL 33607 | No data |
| CHANGE OF MAILING ADDRESS | 2023-01-19 | 2727 W MARTIN LUTHER KING BLVD, STE 520, TAMPA, FL 33607 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-07 |
| ANNUAL REPORT | 2023-01-19 |
| Florida Limited Liability | 2022-09-26 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
