| Entity Name: | ADVANTACARE PAIN MANAGEMENT CENTERS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 11 Jul 2006 (19 years ago) |
| Date of dissolution: | 23 Sep 2011 (13 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2011 (13 years ago) |
| Document Number: | P06000091806 |
| FEI/EIN Number | 20-5190228 |
| Address: | 539 S. CHICKASAW TRAIL, ORLANDO, FL 32825 |
| Mail Address: | 2808 ENTERPRSE RD, STE 105, DEBARY, FL 32813 |
| ZIP code: | 32825 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154348126 | 2006-07-16 | 2020-08-22 | 509 W COLONIAL DR, ORLANDO, FL, 328046803, US | 509 W COLONIAL DR, ORLANDO, FL, 328046803, US | |||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 407-898-2522 |
| Fax | 4078982102 |
Authorized person
| Name | MR. BARRY KENNETH SMITH |
| Role | COO |
| Phone | 3212297387 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH6418 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH7586 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207QS0010X - Sports Medicine (Family Medicine) Physician |
| License Number | OS5530 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 2081P2900X - Pain Medicine (Physical Medicine & Rehabilitation) Physician |
| License Number | ME82389 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| SMITH, BARRY K | Agent | 539 S. CHICKASAW TRAIL, ORLANDO, FL 32825 |
| Name | Role | Address |
|---|---|---|
| RECKSIEDLER, CHRISTOPHER C | Vice President | 539 S. CHICKASAW TRAIL, ORLANDO, FL 32825 |
| Name | Role | Address |
|---|---|---|
| SMITH, BARRY K | Manager | 539 S. CHICKASAW, ORLANDO, FL 32825 |
| Name | Role | Address |
|---|---|---|
| SMITH, BARRY K | President | 539 S. CHICKASAW, ORLANDO, FL 32825 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2010-04-27 | 539 S. CHICKASAW TRAIL, ORLANDO, FL 32825 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-04-30 | 539 S. CHICKASAW TRAIL, ORLANDO, FL 32825 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-04-30 | 539 S. CHICKASAW TRAIL, ORLANDO, FL 32825 | No data |
| AMENDMENT | 2008-12-23 | No data | No data |
| AMENDMENT | 2008-09-04 | No data | No data |
| AMENDMENT | 2006-12-18 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2010-04-27 |
| ANNUAL REPORT | 2009-04-30 |
| Amendment | 2008-12-23 |
| Amendment | 2008-09-04 |
| ANNUAL REPORT | 2008-04-30 |
| ANNUAL REPORT | 2007-08-08 |
| Amendment | 2006-12-18 |
| Domestic Profit | 2006-07-11 |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
