| Entity Name: | CONSULT CARE PAIN MEDICINE, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
CONSULT CARE PAIN MEDICINE, 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: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 10 Aug 2006 (19 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 14 Aug 2017 (8 years ago) |
| Document Number: | P06000104828 |
| FEI/EIN Number |
870790811
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 501 AIRPORT ROAD, PANAMA CITY, FL, 32405 |
| Mail Address: | CONSULT CARE PAIN MEDICINE, P.A, PO BOX 15547, PANAMA CITY, FL, 32401 |
| ZIP code: | 32405 |
| County: | Bay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679783948 | 2007-05-23 | 2011-09-27 | P.O. BOX 15547, PANAMA CITY, FL, 32401, US | 501 AIRPORT RD, PANAMA CITY, FL, 324054010, US | |||||||||||||||||||||||||
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| Phone | +1 850-913-9488 |
| Fax | 8505229443 |
Authorized person
| Name | DR. ATA UL MOHSIN |
| Role | M.D OWNER |
| Phone | 8509139488 |
Taxonomy
| Taxonomy Code | 208VP0014X - Interventional Pain Medicine Physician |
| License Number | ME87428 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 266908100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MOHSIN ATA UI | President | 501 AIRPORT ROAD, PANAMA CITY, FL, 32405 |
| MOHSIN ATA UI | Agent | 501 AIRPORT ROAD, PANAMA CITY, FL, 32405 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2017-08-14 | MOHSIN, ATA UI | - |
| REINSTATEMENT | 2017-08-14 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2012-04-16 | 501 AIRPORT ROAD, PANAMA CITY, FL 32405 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2012-04-16 | 501 AIRPORT ROAD, PANAMA CITY, FL 32405 | - |
| CHANGE OF MAILING ADDRESS | 2010-11-24 | 501 AIRPORT ROAD, PANAMA CITY, FL 32405 | - |
| REINSTATEMENT | 2010-11-24 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | - | - |
| CANCEL ADM DISS/REV | 2007-10-08 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-16 |
| ANNUAL REPORT | 2023-04-24 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-04-18 |
| ANNUAL REPORT | 2019-06-03 |
| ANNUAL REPORT | 2018-06-28 |
| REINSTATEMENT | 2017-08-14 |
| ANNUAL REPORT | 2015-04-30 |
| ANNUAL REPORT | 2014-05-01 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 8404357302 | 2020-05-01 | 0491 | PPP | 501 AIRPORT RD, PANAMA CITY, FL, 32405-4010 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Apr 2025
Sources: Florida Department of State
