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MATRIX PAIN MANAGEMENT LLC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
RASEKHI ROXANNA Agent 1495 WOOD ROW WAY, WELLINGTON, FL, 33414

Chief Executive Officer

Name Role Address
RASEKHI ROXANNA Chief Executive Officer 1495 WOOD ROW WAY, WELLINGTON, FL, 33414

Documents

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