| Entity Name: | INTERVENTIONAL PAIN INSTITUTE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 28 Jun 2023 (2 years ago) |
| Document Number: | L23000311228 |
| FEI/EIN Number | 93-2163542 |
| Address: | 11974 CR 101, THE VILLAGES, FL 32162 |
| Mail Address: | 11974 CR 101, THE VILLAGES, FL 32162 |
| ZIP code: | 32162 |
| County: | Sumter |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851074694 | 2023-08-09 | 2023-09-11 | 11974 COUNTY ROAD 101 STE 102, THE VILLAGES, FL, 321629339, US | 11974 COUNTY ROAD 101 STE 102, THE VILLAGES, FL, 321629339, US | |||||||||||||||
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| Phone | +1 352-391-9467 |
| Fax | 3523919468 |
Authorized person
| Name | DR. BRENT COMPTON |
| Role | MEDICAL DIRECTOR |
| Phone | 3523506500 |
Taxonomy
| Taxonomy Code | 208VP0014X - Interventional Pain Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| COMPTON, BRENT C, Dr. | Agent | 11974 COUNTY RD 101, 102, THE VILLAGES, FL 32162 |
| Name | Role | Address |
|---|---|---|
| COMPTON, BRENT C, Dr. | Chief Executive Officer | 11974 COUNTY RD 101, 102 THE VILLAGES, FL 32162 |
| Name | Role | Address |
|---|---|---|
| COMPTON, BRENT C, Dr. | President | 11974 COUNTY RD 101, 102 THE VILLAGES, FL 32162 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-04 | 11974 CR 101, THE VILLAGES, FL 32162 | No data |
| CHANGE OF MAILING ADDRESS | 2024-01-04 | 11974 CR 101, THE VILLAGES, FL 32162 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-01-04 | COMPTON, BRENT C, Dr. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-04 | 11974 COUNTY RD 101, 102, THE VILLAGES, FL 32162 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-04 |
| Florida Limited Liability | 2023-06-28 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
