Entity Name: | PAIN MANAGEMENT GROUP OF S. FLORIDA, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 06 Sep 2002 (22 years ago) |
Document Number: | P02000096558 |
FEI/EIN Number | 020641320 |
Address: | 1208 NW 144 Terrace, Pembroke Pines, FL, 33028, US |
Mail Address: | 1208 NW 144 TERRACE, PEMBROKE PINES, FL, 33028 |
ZIP code: | 33028 |
County: | Broward |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1679713838 | 2009-03-02 | 2009-03-02 | 6100 HOLLYWOOD BLVD, SUITE 409, HOLLYWOOD, FL, 330247900, US | 6100 HOLLYWOOD BLVD, SUITE 409, HOLLYWOOD, FL, 330247900, US | |||||||||||||||||||
|
Phone | +1 954-986-0770 |
Fax | 9549878337 |
Authorized person
Name | DENNIS BONNEAU |
Role | PRESIDENT |
Phone | 9549860770 |
Taxonomy
Taxonomy Code | 111N00000X - Chiropractor |
Is Primary | No |
Taxonomy Code | 207Q00000X - Family Medicine Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
BONNEAU DENNIS H | Agent | 1208 NW 144 TERRACE, PEMBROKE PINES, FL, 33028 |
Name | Role | Address |
---|---|---|
BONNEAU DENNIS H | President | 1208 NW 144 TERRACE, PEMBROKE PINES, FL, 33028 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
CANCEL ADM DISS/REV | 2009-10-01 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
AMENDMENT | 2009-01-22 | No data | No data |
CANCEL ADM DISS/REV | 2003-11-19 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2003-09-19 | No data | No data |
Date of last update: 03 Jan 2025
Sources: Florida Department of State