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JACKSONVILLE PAIN CENTER, PA - Florida Company Profile

Company Details

Entity Name: JACKSONVILLE PAIN CENTER, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

JACKSONVILLE PAIN CENTER, PA 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: 23 Oct 2007 (18 years ago)
Document Number: P07000116180
FEI/EIN Number 261104719

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 9421 WAYPOINT PLACE, JACKSONVILLE, FL, 32257
Mail Address: P.O. BOX 600290, JACKSONVILLE, FL, 32260
ZIP code: 32257
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1114114303 2007-10-01 2010-12-21 PO BOX 600290, JACKSONVILLE, FL, 322600290, US 9421 WAYPOINT PL, JACKSONVILLE, FL, 322579229, US

Contacts

Phone +1 904-268-8200
Fax 9042688298

Authorized person

Name DR. HEMANT SHAH
Role PRESIDENT/ OWNER
Phone 9042688200

Taxonomy

Taxonomy Code 208VP0014X - Interventional Pain Medicine Physician
License Number ME95262
State FL
Is Primary Yes

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

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

FAIN Awarding Agency Assistance Listings Start Date End Date Description
4211765005 Small Business Administration 59.012 - 7(A) LOAN GUARANTEES - - TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Recipient JACKSONVILLE PAIN CENTER PA
Recipient Name Raw JACKSONVILLE PAIN CENTER PA
Recipient DUNS 010291254
Recipient Address 9421 WAYPOINT PLACE, JACKSONVILLE, DUVAL, FLORIDA, 32257-0000, UNITED STATES
Obligated Amount 0.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2744837205 2020-04-16 0491 PPP 9421 WAYPOINT PLACE, JACKSONVILLE, FL, 32257-9229
Loan Status Date 2021-05-06
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 100600
Loan Approval Amount (current) 100600
Undisbursed Amount 0
Franchise Name -
Lender Location ID 2408
Servicing Lender Name Regions Bank
Servicing Lender Address 1900 Fifth Avenue North, BIRMINGHAM, AL, 35203
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address JACKSONVILLE, DUVAL, FL, 32257-9229
Project Congressional District FL-05
Number of Employees 6
NAICS code 621111
Borrower Race American Indian or Alaska Native
Borrower Ethnicity Not Hispanic or Latino
Business Type Professional Association
Originating Lender ID 2408
Originating Lender Name Regions Bank
Originating Lender Address BIRMINGHAM, AL
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 101575.68
Forgiveness Paid Date 2021-04-19
6078778300 2021-01-26 0491 PPS 9421 Waypoint Pl, Jacksonville, FL, 32257-9229
Loan Status Date 2021-12-08
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 113600.7
Loan Approval Amount (current) 113600.7
Undisbursed Amount 0
Franchise Name -
Lender Location ID 2408
Servicing Lender Name Regions Bank
Servicing Lender Address 1900 Fifth Avenue North, BIRMINGHAM, AL, 35203
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Jacksonville, DUVAL, FL, 32257-9229
Project Congressional District FL-05
Number of Employees 6
NAICS code 621111
Borrower Race American Indian or Alaska Native
Borrower Ethnicity Not Hispanic or Latino
Business Type Professional Association
Originating Lender ID 2408
Originating Lender Name Regions Bank
Originating Lender Address BIRMINGHAM, AL
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 114478.38
Forgiveness Paid Date 2021-11-15

Date of last update: 01 May 2025

Sources: Florida Department of State