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  5. JACKSONVILLE PAIN CENTER, PA

JACKSONVILLE PAIN CENTER, PA - Florida Company Profile

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Company Details

Entity Name: JACKSONVILLE PAIN CENTER, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 23 Oct 2007 (18 years ago)
Document Number: P07000116180
FEI/EIN Number 261104719
Address: 9421 WAYPOINT PLACE, JACKSONVILLE, FL, 32257
Mail Address: P.O. BOX 600290, JACKSONVILLE, FL, 32260
ZIP code: 32257
City: Jacksonville
County: Duval
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
SHAH HEMANT M President 9421 WAYPOINT PLACE, JACKSONVILLE, FL, 32257
SHAH HEMANT M Secretary 9421 WAYPOINT PLACE, JACKSONVILLE, FL, 32257
SHAH HEMANT M Treasurer 9421 WAYPOINT PLACE, JACKSONVILLE, FL, 32257
SHAH HEMANT M Director 9421 WAYPOINT PLACE, JACKSONVILLE, FL, 32257
Farah Law Agent 6550 St. Augustine Road, Jacksonville, FL, 32217

National Provider Identifier

NPI Number:
1114114303
Link:
View on NPI website

Authorized Person:

Name:
DR. HEMANT SHAH
Role:
PRESIDENT/ OWNER
Phone:
9042688200

Taxonomy:

Selected Taxonomy:
208VP0014X - Interventional Pain Medicine Physician
Is Primary:
Yes

Contacts:

Phone:
+1 904-268-8200
Fax:
9042688298

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G10000037431 JACKSONVILLE PAIN CENTER ACTIVE 2010-04-28 2030-12-31 - P.O. BOX 600290, JACKSONVILLE, FL, 32260

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2020-03-17 Farah Law -
REGISTERED AGENT ADDRESS CHANGED 2014-04-22 6550 St. Augustine Road, Suite 103, Jacksonville, FL 32217 -
CHANGE OF PRINCIPAL ADDRESS 2011-02-21 9421 WAYPOINT PLACE, JACKSONVILLE, FL 32257 -
CHANGE OF MAILING ADDRESS 2008-02-01 9421 WAYPOINT PLACE, JACKSONVILLE, FL 32257 -

Documents

Name Date
ANNUAL REPORT 2024-02-12
ANNUAL REPORT 2023-04-18
ANNUAL REPORT 2022-03-09
ANNUAL REPORT 2021-03-13
ANNUAL REPORT 2020-03-17
ANNUAL REPORT 2019-02-07
ANNUAL REPORT 2018-03-20
ANNUAL REPORT 2017-02-14
ANNUAL REPORT 2016-03-05
ANNUAL REPORT 2015-02-25

USAspending Awards / Financial Assistance

Date:
2021-01-26
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
113600.70
Total Face Value Of Loan:
113600.70
Date:
2020-04-16
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
100600.00
Total Face Value Of Loan:
100600.00
Date:
2010-09-21
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
-15000.00
Total Face Value Of Loan:
0.00

Paycheck Protection Program

Jobs Reported:
6
Initial Approval Amount:
$100,600
Date Approved:
2020-04-16
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$100,600
Race:
American Indian or Alaska Native
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$101,575.68
Servicing Lender:
Regions Bank
Use of Proceeds:
Payroll: $100,600
Jobs Reported:
6
Initial Approval Amount:
$113,600.7
Date Approved:
2021-01-26
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$113,600.7
Race:
American Indian or Alaska Native
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$114,478.38
Servicing Lender:
Regions Bank
Use of Proceeds:
Payroll: $113,600.7

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Related by address

9421 WAYPOINT PLACE, JACKSONVILLE, FL, 32257

FIRST COAST FAMILY EDUCATION, INC.
Domestic Profit
FIRST COAST FAMILY EDUCATION, INC., which currently Inactive, had registered address 9421 WAYPOINT PLACE, JACKSONVILLE, FL, 32257.
FIRST COAST FAMILY EDUCATION, INC.
Domestic Profit
FIRST COAST FAMILY EDUCATION, INC., which currently Inactive, had registered address 9421 WAYPOINT PLACE, JACKSONVILLE, FL, 32257.

Date of last update: 01 Jul 2025

Sources: Florida Department of State

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