| Entity Name: | CENTRAL FLORIDA PAIN & SPINE INSTITUTE, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
CENTRAL FLORIDA PAIN & SPINE INSTITUTE, P.A. 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: | 05 Feb 2003 (22 years ago) |
| Date of dissolution: | 27 Sep 2013 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (12 years ago) |
| Document Number: | P03000013546 |
| FEI/EIN Number |
134236113
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Mail Address: | PO BOX 731618, ORMOND BEACH, FL, 32173-1618, US |
| Address: | 725 W GRANADA BLVD, UNIT 22, ORMOND BEACH, FL, 32174, US |
| ZIP code: | 32174 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558573188 | 2007-05-04 | 2023-03-07 | PO BOX 731618, ORMOND BEACH, FL, 321731618, US | 725 W GRANADA BLVD, UNIT #22, ORMOND BEACH, FL, 321745107, US | |||||||||||||||||||||||||||||
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| Phone | +1 386-274-0097 |
| Fax | 3862744996 |
Authorized person
| Name | ROCHELLE R CANNON |
| Role | ADMINISTRATOR |
| Phone | 3862740097 |
Taxonomy
| Taxonomy Code | 261QP3300X - Pain Clinic/Center |
| License Number | ME86188 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | INDIVIDUAL NPI NUMBER |
| Number | 1578507893 |
| Issuer | FL MEDICAL LIC # |
| Number | ME86188 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CENTRAL FLORIDA PAIN & SPINE INSTITUTE, P.A. 401(K) PROFIT SHARING PLAN | 2009 | 134236113 | 2010-04-15 | CENTRAL FLORIDA PAIN & SPINE INSTITUTE, P.A. | 7 | |||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 134236113 |
| Plan administrator’s name | CENTRAL FLORIDA PAIN & SPINE INSTITUTE, P.A. |
| Plan administrator’s address | 725 W GRANADA BUILDING, SUITE 22, ORMOND BEACH, FL, 32174 |
| Administrator’s telephone number | 3862740097 |
Number of participants as of the end of the plan year
| Active participants | 7 |
| Number of participants with account balances as of the end of the plan year | 4 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Plan administrator |
| Date | 2010-04-15 |
| Name of individual signing | DINASH YANAMADULA |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| YANAMADULA DINASH K | President | 725 W GRANADA BLVD UNIT 22, ORMOND BEACH, FL, 32174 |
| YANAMADULA DINASH K | Secretary | 725 W GRANADA BLVD UNIT 22, ORMOND BEACH, FL, 32174 |
| YANAMADULA DINASH K | Treasurer | 725 W GRANADA BLVD UNIT 22, ORMOND BEACH, FL, 32174 |
| YANAMADULA DINASH K | Director | 725 W GRANADA BLVD UNIT 22, ORMOND BEACH, FL, 32174 |
| SAUERBERG ERIC M | Agent | 200 VILLAGE SQUARE CROSSING, PALM BEACH GARDENS, FL, 33410 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2007-04-26 | 725 W GRANADA BLVD, UNIT 22, ORMOND BEACH, FL 32174 | - |
| CHANGE OF MAILING ADDRESS | 2007-04-26 | 725 W GRANADA BLVD, UNIT 22, ORMOND BEACH, FL 32174 | - |
| REGISTERED AGENT NAME CHANGED | 2006-07-24 | SAUERBERG, ERIC M | - |
| REGISTERED AGENT ADDRESS CHANGED | 2006-07-24 | 200 VILLAGE SQUARE CROSSING, SUITE 102, PALM BEACH GARDENS, FL 33410 | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J12000614126 | LAPSED | 2012-30168-CICI | VOLUISA COUNTY CIRCUIT | 2012-09-17 | 2017-09-20 | $63,394.40 | REUNION BANK OF FLORIDA, 3615 CLYDE MORRIS BLVD, PORT ORANGE, FL 32129 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-03-12 |
| ANNUAL REPORT | 2011-04-20 |
| ANNUAL REPORT | 2010-04-30 |
| ANNUAL REPORT | 2009-04-29 |
| ANNUAL REPORT | 2008-04-30 |
| ANNUAL REPORT | 2007-04-26 |
| Reg. Agent Change | 2006-07-24 |
| ANNUAL REPORT | 2006-04-18 |
| ANNUAL REPORT | 2005-03-01 |
| ANNUAL REPORT | 2004-04-29 |
Date of last update: 02 May 2025
Sources: Florida Department of State
