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PAIN MANAGEMENT GROUP OF S. FLORIDA, INC.

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
BONNEAU DENNIS H Agent 1208 NW 144 TERRACE, PEMBROKE PINES, FL, 33028

President

Name Role Address
BONNEAU DENNIS H President 1208 NW 144 TERRACE, PEMBROKE PINES, FL, 33028

Events

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