| Entity Name: | INTERNATIONAL CENTER FOR PAIN MANAGEMENT, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 08 Apr 2002 (23 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 26 Sep 2022 (2 years ago) |
| Document Number: | P02000037939 |
| FEI/EIN Number | 020578770 |
| Address: | 1151 BLACKWOOD AVENUE, SUITE 150, OCOEE, FL, 34761 |
| Mail Address: | P.O. BOX 1507, WINDERMERE, FL, 34786 |
| ZIP code: | 34761 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487664041 | 2006-08-08 | 2010-05-06 | PO BOX 1507, WINDERMERE, FL, 347861507, US | 1151 BLACKWOOD AVE, SUITE 150, OCOEE, FL, 347614519, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 407-296-1902 |
| Fax | 4073585366 |
Authorized person
| Name | DR. MUHAMMAD HASSAN SALEM |
| Role | PRESIDENT |
| Phone | 4072961902 |
Taxonomy
| Taxonomy Code | 208VP0000X - Pain Medicine Physician |
| License Number | ME83805 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SALEM MUHAMMAD HDr. | Agent | 1151 BLACKWOOD AVENUE, OCOEE, FL, 34761 |
| Name | Role | Address |
|---|---|---|
| SALEM MUHAMMAD HDr. | President | 1151 BLACKWOOD AVENUE, SUITE 150, OCOEE, FL, 34761 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2022-09-26 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2013-04-15 | SALEM, MUHAMMAD H, Dr. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-04-29 | 1151 BLACKWOOD AVENUE, SUITE 150, OCOEE, FL 34761 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-04-29 | 1151 BLACKWOOD AVENUE, SUITE 150, OCOEE, FL 34761 | No data |
| CHANGE OF MAILING ADDRESS | 2003-04-28 | 1151 BLACKWOOD AVENUE, SUITE 150, OCOEE, FL 34761 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-28 |
| REINSTATEMENT | 2022-09-26 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-04-26 |
| ANNUAL REPORT | 2018-04-16 |
| ANNUAL REPORT | 2017-04-13 |
| ANNUAL REPORT | 2016-04-07 |
| ANNUAL REPORT | 2015-04-14 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
