Entity Name: | PAIN INSTITUTE OF PALM BEACH, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 27 Dec 2000 (24 years ago) |
Date of dissolution: | 25 Sep 2009 (15 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 25 Sep 2009 (15 years ago) |
Document Number: | P00000117465 |
FEI/EIN Number | 651065755 |
Address: | 1926 10TH AVE. NORTH, SUITE 105, LAKE WORTH, FL, 33461 |
Mail Address: | 1926 10TH AVE NORTH, SUITE 105, LAKE WORTH, FL, 33461 |
ZIP code: | 33461 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1578602009 | 2007-02-05 | 2020-08-22 | 1926 10TH AVE N, SUITE 105, LAKE WORTH, FL, 334613369, US | 1926 10TH AVE N, SUITE 105, LAKE WORTH, FL, 334613369, US | |||||||||||||||
|
Phone | +1 561-540-4458 |
Fax | 5615405939 |
Authorized person
Name | DR. MORRIS SHLAMOWITZ |
Role | PRESIDENT |
Phone | 5615404458 |
Taxonomy
Taxonomy Code | 207LP2900X - Pain Medicine (Anesthesiology) Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
SHLAMOWITZ MORRIS | Agent | 1926 10TH AVE NORTH, LAKE WORTH, FL, 33461 |
Name | Role | Address |
---|---|---|
SHLAMOWITZ MORRIS | President | 1926 10TH AVE NORTH, LAKE WORTH, FL, 33461 |
Name | Role | Address |
---|---|---|
SHLAMOWITZ JOAN | Secretary | 1926 10TH AVE NORTH, LAKE WORTH, FL, 33461 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2007-02-04 | 1926 10TH AVE. NORTH, SUITE 105, LAKE WORTH, FL 33461 | No data |
CHANGE OF MAILING ADDRESS | 2007-02-04 | 1926 10TH AVE. NORTH, SUITE 105, LAKE WORTH, FL 33461 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2007-02-04 | 1926 10TH AVE NORTH, SUITE 105, LAKE WORTH, FL 33461 | No data |
REGISTERED AGENT NAME CHANGED | 2003-12-02 | SHLAMOWITZ, MORRIS | No data |
CANCEL ADM DISS/REV | 2003-12-02 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2002-10-04 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2008-01-07 |
ANNUAL REPORT | 2007-02-04 |
ANNUAL REPORT | 2006-01-04 |
ANNUAL REPORT | 2005-06-30 |
ANNUAL REPORT | 2004-07-02 |
REINSTATEMENT | 2003-12-02 |
Domestic Profit | 2000-12-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State