| Entity Name: | TRILLIUM PAIN MANAGEMENT CENTERS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 02 Jan 2001 (24 years ago) |
| Date of dissolution: | 01 Oct 2004 (20 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 01 Oct 2004 (20 years ago) |
| Document Number: | P01000000384 |
| FEI/EIN Number | 593691244 |
| Address: | 1300 N. WESTSHORE BLVD, SUITE 100, TAMPA, FL, 33607 |
| Mail Address: | 1300 N. WESTSHORE BLVD, SUITE 100, TAMPA, FL, 33607 |
| ZIP code: | 33607 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962613695 | 2007-05-24 | 2020-08-22 | PO BOX 23788, TAMPA, FL, 336233788, US | 5425 PARK ST N, ST PETERSBURG, FL, 337097062, US | |||||||||||||||||||||
|
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| Phone | +1 800-750-8103 |
| Fax | 8667880863 |
Authorized person
| Name | BOBBY L COATES |
| Role | PRESIDENT |
| Phone | 7274035221 |
Taxonomy
| Taxonomy Code | 208VP0014X - Interventional Pain Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS GROUP |
| Number | K2619 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| THE LAW OFFICES OF CHRISTOPHER P. CALKIN, | Agent | 1715 N. WESTSHORE BLVD., STE 918, TAMPA, FL, 33607 |
| Name | Role | Address |
|---|---|---|
| COATES BOBBY | Director | 1300 N WESTSHORE BLVD, STE. 100, TAMPA, FL, 33607 |
| Name | Role | Address |
|---|---|---|
| COATES BOBBY | President | 1300 N WESTSHORE BLVD, STE. 100, TAMPA, FL, 33607 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2004-10-01 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2003-05-05 | 1300 N. WESTSHORE BLVD, SUITE 100, TAMPA, FL 33607 | No data |
| CHANGE OF MAILING ADDRESS | 2003-05-05 | 1300 N. WESTSHORE BLVD, SUITE 100, TAMPA, FL 33607 | No data |
| REGISTERED AGENT NAME CHANGED | 2002-10-08 | THE LAW OFFICES OF CHRISTOPHER P. CALKIN, | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2002-10-08 | 1715 N. WESTSHORE BLVD., STE 918, WESTSHORE CENTER, TAMPA, FL 33607 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2003-05-05 |
| Reg. Agent Change | 2002-10-08 |
| ANNUAL REPORT | 2002-04-30 |
| Domestic Profit | 2001-01-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
