| Entity Name: | FLORIDA PAIN & REHABILITATION INSTITUTE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 12 Apr 2001 (24 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 14 Nov 2022 (2 years ago) |
| Document Number: | P01000037380 |
| FEI/EIN Number | 65-1092714 |
| Address: | 5280 Corporate Drive, Suite C-250, Frederick, MD, 21703, US |
| Mail Address: | 5280 Corporate Drive, Suite C-250, Frederick, MD, 21703, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134709074 | 2021-04-14 | 2021-04-14 | 11350 MCCORMICK RD., EXECUTIVE PLAZA 1, SUITE 501, HUNT VALLEY, MD, 21031, US | 978 INTERNATIONAL PKWY STE 1440, LAKE MARY, FL, 327465233, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 678-841-7135 |
| Fax | 6788417223 |
| Phone | +1 407-624-5028 |
Authorized person
| Name | CHERIAN K SAJAN |
| Role | MD |
| Phone | 6788417135 |
Taxonomy
| Taxonomy Code | 207T00000X - Neurological Surgery Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| Sajan Cherian K | Director | 5280 Corporate Drive, Frederick, MD, 21703 |
| Name | Role | Address |
|---|---|---|
| Sajan Cherian K | President | 5280 Corporate Drive, Frederick, MD, 21703 |
| Name | Role | Address |
|---|---|---|
| Sajan Cherian K | Secretary | 5280 Corporate Drive, Frederick, MD, 21703 |
| Name | Role | Address |
|---|---|---|
| Sajan Cherian | Auth | 5280 Corporate Drive, Frederick, MD, 21703 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000144509 | SPINE, ORTHOPEDICS AND REHABILITATION | ACTIVE | 2023-11-29 | 2028-12-31 | No data | 5365 W. ATLANTIC AVE, SUITE 504, DELRAY BEACH, FL, 33484-8194 |
| G21000046838 | NEUROSURGERY OF CENTRAL FLORIDA | ACTIVE | 2021-04-06 | 2026-12-31 | No data | 5365 W. ATLANTIC AVE., SUITE 504, DEL RAY BEACH, FL, 33484 |
| G21000007280 | B3 MEDICAL | ACTIVE | 2021-01-14 | 2026-12-31 | No data | 5365 W. ATLANTIC AVE., SUITE 504, DEL RAY BEACH, FL, 33484 |
| G20000160294 | PAIN MANAGEMENT CONSULTANTS OF SOUTHWEST FLORIDA | ACTIVE | 2020-12-17 | 2025-12-31 | No data | 5365 W. ATLANTIC AVE., SUITE 504, DEL RAY BEACH, FL, 33484 |
| G17000026006 | INTERVENTIONAL MEDICAL ASSOCIATES | EXPIRED | 2017-03-10 | 2022-12-31 | No data | 5365 W. ATLANTIC AVE., SUITE 504, DELRAY BEACH, FL, 33484 |
| G17000022485 | SPINE, ORTHOPEDICS AND REHABILITATION | EXPIRED | 2017-03-02 | 2022-12-31 | No data | 5365 W. ATLANTIC AVE., SUITE 504, DELRAY BEACH, FL, 33484 |
| G16000122734 | FLORIDA PAIN AND REHABILITATION CENTER | EXPIRED | 2016-11-12 | 2021-12-31 | No data | 5365 WEST ATLANTIC AVENUE, SUITE 504, DELRAY BEACH, FL, 33484 |
| G15000112431 | CENTRAL FLORIDA PAIN MANAGEMENT | ACTIVE | 2015-11-04 | 2025-12-31 | No data | 5365 W. ATLANTIC AVE., SUITE 504, DELRAY BEACH, FL, 33484 |
| G13000000731 | NATIONAL PAIN INSTITUTE | ACTIVE | 2013-01-03 | 2028-12-31 | No data | 5365 W. ATLANTIC AVENUE, SUITE 504, DELRAY BEACH, FL, 33484 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-11 | 5280 Corporate Drive, Suite C-250, Frederick, MD 21703 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-11 | 5280 Corporate Drive, Suite C-250, Frederick, MD 21703 | No data |
| REINSTATEMENT | 2022-11-14 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2022-11-14 | C T Corporation System | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-11-14 | 1200 South Pine Island Road, Plantation, FL 33324 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-11 |
| ANNUAL REPORT | 2023-04-12 |
| REINSTATEMENT | 2022-11-14 |
| ANNUAL REPORT | 2020-02-05 |
| ANNUAL REPORT | 2019-03-06 |
| ANNUAL REPORT | 2018-03-16 |
| ANNUAL REPORT | 2017-01-23 |
| ANNUAL REPORT | 2016-03-31 |
| AMENDED ANNUAL REPORT | 2015-04-29 |
| ANNUAL REPORT | 2015-04-01 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
