| Entity Name: | PAINCARE FLORIDA LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 Apr 2023 (2 years ago) |
| Document Number: | L23000189030 |
| FEI/EIN Number | NOT APPLICABLE |
| Address: | 111 SE OSCEOLA ST, 100, STUART, FL, 34990 |
| Mail Address: | 111 SE OSCEOLA ST, 100, STUART, FL, 34990 |
| ZIP code: | 34990 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821789066 | 2023-05-18 | 2023-05-18 | 111 SE OSCEOLA ST STE 100, STUART, FL, 349942114, US | 111 SE OSCEOLA ST STE 100, STUART, FL, 349942114, US | |||||||||||||||||
|
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| Phone | +1 866-228-7676 |
Authorized person
| Name | DR. MARC LEVINE |
| Role | MANAGER |
| Phone | 7724858805 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| Is Primary | Yes |
| Taxonomy Code | 207LP2900X - Pain Medicine (Anesthesiology) Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| LEVINE MARC I | Agent | 111 SE OSCEOLA ST, STUART, FL, 34990 |
| Name | Role |
|---|---|
| TANGO VICTOR, LLC | Manager |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-15 |
| Florida Limited Liability | 2023-04-17 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
