| Entity Name: | PREMIER PAIN MANAGEMENT, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 27 Jan 2000 (25 years ago) |
| Date of dissolution: | 15 Sep 2006 (18 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 15 Sep 2006 (18 years ago) |
| Document Number: | P00000009362 |
| FEI/EIN Number | 593634900 |
| Address: | 2406 BEMISS RD., UNIT C, VALDOSTA, GA, 31602 |
| Mail Address: | 4060 KILARNEY CIRCLE, VALDOSTA, GA, 31602 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043606387 | 2015-04-14 | 2015-04-14 | PO BOX 9161, CORAL SPRINGS, FL, 330759161, US | 3255 NW 94TH AVE, SUITE 9161, CORAL SPRINGS, FL, 330752001, US | |||||||||||||||||||||||
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| Phone | +1 973-698-7768 |
Authorized person
| Name | JANICE DEBRA VICTOR |
| Role | PRESIDENT/PHYSICIAN |
| Phone | 9736987768 |
Taxonomy
| Taxonomy Code | 208VP0014X - Interventional Pain Medicine Physician |
| License Number | ME100973 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1164422705 |
| State | FL |
| Name | Role |
|---|---|
| UCC FILING & SEARCH SERVICES, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| PERSAUD SUNIL | President | 4060 KILARNEY CIR., VALDOSTA, GA, 31602 |
| Name | Role | Address |
|---|---|---|
| PERSAUD SUNIL | Secretary | 4060 KILARNEY CIR., VALDOSTA, GA, 31602 |
| Name | Role | Address |
|---|---|---|
| PERSAUD SUNIL | Director | 4060 KILARNEY CIR., VALDOSTA, GA, 31602 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2006-09-15 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2005-09-16 | 1574 VILLAGE SQUARE BLVD, SUITE 100, TALLAHASSEE, FL 32309 | No data |
| CHANGE OF MAILING ADDRESS | 2001-02-15 | 2406 BEMISS RD., UNIT C, VALDOSTA, GA 31602 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2005-04-13 |
| ANNUAL REPORT | 2004-04-30 |
| ANNUAL REPORT | 2003-04-28 |
| ANNUAL REPORT | 2002-05-02 |
| ANNUAL REPORT | 2001-02-15 |
| Domestic Profit | 2000-01-27 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
