Entity Name: | MATRIX PAIN MANAGEMENT LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 05 May 2023 (2 years ago) |
Document Number: | L23000222920 |
FEI/EIN Number | 923900978 |
Address: | 1495 WOOD ROW WAY, WELLINGTON, FL, 33414, US |
Mail Address: | 1495 WOOD ROW WAY, WELLINGTON, FL, 33414, US |
ZIP code: | 33414 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1952151755 | 2024-03-25 | 2024-03-25 | 5602 PGA BLVD STE 101, PALM BEACH GARDENS, FL, 334183829, US | 5602 PGA BLVD STE 101, PALM BEACH GARDENS, FL, 334183829, US | |||||||||||||||
|
Phone | +1 561-246-2422 |
Fax | 5616276444 |
Authorized person
Name | MRS. NATALYNN CINTRON |
Role | OFFICE MANAGER |
Phone | 5612462422 |
Taxonomy
Taxonomy Code | 208VP0000X - Pain Medicine Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
RASEKHI ROXANNA | Agent | 1495 WOOD ROW WAY, WELLINGTON, FL, 33414 |
Name | Role | Address |
---|---|---|
RASEKHI ROXANNA | Chief Executive Officer | 1495 WOOD ROW WAY, WELLINGTON, FL, 33414 |
Name | Date |
---|---|
ANNUAL REPORT | 2024-03-06 |
Florida Limited Liability | 2023-05-05 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State