| Entity Name: | OUTPATIENT PAIN AND WELLNESS CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
OUTPATIENT PAIN AND WELLNESS CENTER, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 30 Jul 2001 (24 years ago) |
| Date of dissolution: | 16 Jan 2019 (6 years ago) |
| Last Event: | CORPORATE MERGER |
| Event Date Filed: | 16 Jan 2019 (6 years ago) |
| Document Number: | P01000075794 |
| FEI/EIN Number |
311801439
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 4620 N Habana Ave, suite 203, TAMPA, FL, 33614, US |
| Mail Address: | 4620 N Habana Ave, suite 203, TAMPA, FL, 33614, US |
| ZIP code: | 33614 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184861148 | 2009-01-13 | 2009-01-13 | 4602 N ARMENIA AVE, SUITE B5, TAMPA, FL, 336032626, US | 4602 N ARMENIA AVE, SUITE B5, TAMPA, FL, 336032626, US | |||||||||||||||||||||||||
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| Phone | +1 813-874-6600 |
| Fax | 8138746601 |
Authorized person
| Name | DR. KATHLEEN CLEMENTS |
| Role | PRESIDENT |
| Phone | 8138746600 |
Taxonomy
| Taxonomy Code | 111NR0400X - Rehabilitation Chiropractor |
| License Number | CH7977 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 382225700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LEOTTA KATHLEEN | President | 11437 Waterstone Loop Dr, Windermere, FL, 34786 |
| LEOTTA SEAN | Agent | 11437 WATERSTONE LOOP DRIVE, WINDERMERE, FL, 34786 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000075748 | OUTPATIENT PAIN AND WELLNESS CENTER | EXPIRED | 2015-07-21 | 2020-12-31 | - | 4602 N ARMENIA AVE B-5, TAMPA, FL, 33603 |
| G08303900196 | OUTPATIENT PAIN & WELLNESS CENTER | EXPIRED | 2008-10-29 | 2013-12-31 | - | 4602 NORTH ARMENIA AVENUE, SUITE B-4, TAMPA, FL, 33603 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| MERGER | 2019-01-16 | - | CORPORATION WAS PART OF A MERGER. QUALIFIED CORPORATION WAS P05000030055. MERGER NUMBER 100000189611 |
| CHANGE OF MAILING ADDRESS | 2018-04-08 | 4620 N Habana Ave, suite 203, TAMPA, FL 33614 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-08 | 4620 N Habana Ave, suite 203, TAMPA, FL 33614 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2017-12-18 | 11437 WATERSTONE LOOP DRIVE, WINDERMERE, FL 34786 | - |
| REGISTERED AGENT NAME CHANGED | 2017-03-16 | LEOTTA, SEAN | - |
| AMENDMENT | 2009-09-22 | - | - |
| REINSTATEMENT | 2003-12-08 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2003-09-19 | - | - |
| NAME CHANGE AMENDMENT | 2002-06-13 | OUTPATIENT PAIN AND WELLNESS CENTER, INC. | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-04-08 |
| ANNUAL REPORT | 2017-03-16 |
| Reg. Agent Change | 2017-03-16 |
| ANNUAL REPORT | 2016-01-15 |
| ANNUAL REPORT | 2015-03-24 |
| ANNUAL REPORT | 2014-02-26 |
| ANNUAL REPORT | 2013-04-08 |
| ANNUAL REPORT | 2012-03-28 |
| ANNUAL REPORT | 2011-02-07 |
| ANNUAL REPORT | 2010-01-27 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
