| Entity Name: | BEHAVIORAL PAIN SPECIALISTS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 28 Mar 2024 (10 months ago) |
| Last Event: | LC DISSOCIATION MEM |
| Event Date Filed: | 07 Oct 2024 (4 months ago) |
| Document Number: | L24000150824 |
| Address: | 3005 W. EUCLID AVE, TAMPA, FL, 33629, UN |
| Mail Address: | 3005 W. EUCLID AVE, TAMPA, FL, 33629, UN |
| ZIP code: | 33629 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134975881 | 2024-04-24 | 2024-04-24 | 3005 W EUCLID AVE, TAMPA, FL, 336298954, US | 3005 W EUCLID AVE, TAMPA, FL, 336298954, US | |||||||||||||||||||||||
|
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| Phone | +1 813-508-1859 |
| Fax | 8888501859 |
Authorized person
| Name | BOBBY L COATES |
| Role | PRESIDENT AND CEO |
| Phone | 8135081859 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Taxonomy Code | 207LP2900X - Pain Medicine (Anesthesiology) Physician |
| Is Primary | No |
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| COATES BOBBY L | Agent | 3005 W. EUCLID AVE, TAMPA, FL, 33629 |
| Name | Role | Address |
|---|---|---|
| COATES BOBBY L | Managing Member | 3005 W. EUCLID AVE, TAMPA, FL, 33629 |
| Name | Role | Address |
|---|---|---|
| PULIDO LAURA | Authorized Member | 3005 W. EUCLID AVE, TAMPA, FL, 33629 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC DISSOCIATION MEM | 2024-10-07 | No data | No data |
| Name | Date |
|---|---|
| CORLCDSMEM | 2024-10-07 |
| Florida Limited Liability | 2024-03-28 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
