Entity Name: | COMPREHENSIVE PAIN MANAGEMENT SERVICES, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 20 Jun 2002 (23 years ago) |
Document Number: | P02000068377 |
FEI/EIN Number | 010733772 |
Address: | 2051 45TH STREET, SUITE 108, WEST PALM BEACH, FL, 33407 |
Mail Address: | 2051 45TH STREET, SUITE 108, WEST PALM BEACH, FL, 33407 |
ZIP code: | 33407 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1760562342 | 2006-10-17 | 2022-05-12 | 2051 45TH STREET, SUITE 108, WEST PALM BEACH, FL, 33407, US | 2051 45TH ST, SUITE 108, WEST PALM BEACH, FL, 334072027, US | |||||||||||||||||||||||||||||||
|
Phone | +1 561-845-7432 |
Fax | 5618459750 |
Authorized person
Name | DR. MARCO GHIGNONE |
Role | PRESIDENT |
Phone | 5618457432 |
Taxonomy
Taxonomy Code | 207LP2900X - Pain Medicine (Anesthesiology) Physician |
License Number | ME49902 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 048456300 |
State | FL |
Issuer | BC/BS |
Number | 07250 |
State | FL |
Name | Role | Address |
---|---|---|
Gerson Gary NESQ. | Agent | 3001 PGA Blvd., Palm Beach Gardens, FL, 33410 |
Name | Role | Address |
---|---|---|
GHIGNONE MARCO | Director | 2051 45TH STREET , SUITE 108, WEST PALM BEACH, FL, 33407 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G15000014207 | INTERVENTIONAL PAIN & SPINE OF THE PALM BEACHES | ACTIVE | 2015-02-09 | 2025-12-31 | No data | 2051 45TH STREET, SUITE 108, WEST PALM BEACH, FL, 33407 |
G15000014364 | INTERVENTIONAL SPINE CARE OF THE PALM BEACHES | ACTIVE | 2015-02-09 | 2025-12-31 | No data | 2051 45TH STREET, SUITE 108, WEST PALM BEACH, FL, 33407--000 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REGISTERED AGENT NAME CHANGED | 2018-04-10 | Gerson, Gary N, ESQ. | No data |
REGISTERED AGENT ADDRESS CHANGED | 2018-04-10 | 3001 PGA Blvd., SUITE 305, Palm Beach Gardens, FL 33410 | No data |
CHANGE OF MAILING ADDRESS | 2008-04-29 | 2051 45TH STREET, SUITE 108, WEST PALM BEACH, FL 33407 | No data |
CHANGE OF PRINCIPAL ADDRESS | 2007-04-30 | 2051 45TH STREET, SUITE 108, WEST PALM BEACH, FL 33407 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-02-26 |
ANNUAL REPORT | 2023-04-03 |
ANNUAL REPORT | 2022-03-08 |
ANNUAL REPORT | 2021-03-26 |
ANNUAL REPORT | 2020-05-11 |
ANNUAL REPORT | 2019-04-04 |
ANNUAL REPORT | 2018-04-10 |
Reg. Agent Resignation | 2017-12-21 |
ANNUAL REPORT | 2017-03-30 |
ANNUAL REPORT | 2016-04-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State