| Entity Name: | SEVEN BRIDGES PAIN SPECIALISTS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 13 Dec 2022 (2 years ago) |
| Document Number: | L22000523136 |
| FEI/EIN Number | 92-1330962 |
| Address: | 2023 Myra St, Jacksonville, FL 32204 |
| Mail Address: | 2023 Myra St, Jacksonville, FL 32204 |
| ZIP code: | 32204 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386334944 | 2023-05-08 | 2023-09-11 | 2023 MYRA ST, JACKSONVILLE, FL, 322043714, US | 4745 SUTTON PARK CT STE 501, JACKSONVILLE, FL, 322240251, US | |||||||||||||||
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| Phone | +1 904-503-5464 |
| Fax | 9045754399 |
Authorized person
| Name | RENEE A GALLO |
| Role | OWNER |
| Phone | 9045035464 |
Taxonomy
| Taxonomy Code | 208VP0014X - Interventional Pain Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GALLO, RENEE, MD | Agent | 8307 RIDING CLUB ROAD, JACKSONVILLE, FL 32256 |
| Name | Role | Address |
|---|---|---|
| Gallo, Renee, MD | Member | 8307 Riding Club Road, Jacksonville, FL 32256 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-31 | 2023 Myra St, Jacksonville, FL 32204 | No data |
| CHANGE OF MAILING ADDRESS | 2024-01-31 | 2023 Myra St, Jacksonville, FL 32204 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-01-24 |
| Florida Limited Liability | 2022-12-13 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State
