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PAIN MEDICINE INC

Company Details

Entity Name: PAIN MEDICINE INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 28 May 2008 (17 years ago)
Last Event: AMENDMENT
Event Date Filed: 25 Aug 2023 (a year ago)
Document Number: P08000052652
FEI/EIN Number 262725955
Address: 541 S. Florida Avenue, LAKELAND, FL, 33801, US
Mail Address: 541 S. Florida Avenue, LAKELAND, FL, 33801, US
ZIP code: 33801
County: Polk
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1376706283 2008-07-10 2023-03-09 PO BOX 100910, ATLANTA, GA, 303844548, US 541 S FLORIDA AVE, LAKELAND, FL, 338015228, US

Contacts

Phone +1 863-682-7246
Fax 8636825566

Authorized person

Name SAQIB KHAN
Role DOCTOR
Phone 8636827246

Taxonomy

Taxonomy Code 208VP0000X - Pain Medicine Physician
License Number ME0070224
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PAIN MEDICINE, INC. CASH BALANCE PLAN 2022 262725955 2023-04-25 PAIN MEDICINE, INC. 24
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 8636827246
Plan sponsor’s address 541 S. FLORIDA AVE, LAKELAND, FL, 33801
PAIN MEDICINE, INC. 401(K) PLAN 2022 262725955 2023-10-05 PAIN MEDICINE, INC. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 8636827246
Plan sponsor’s address 541 S. FLORIDA AVE, LAKELAND, FL, 33801

Signature of

Role Plan administrator
Date 2023-10-05
Name of individual signing SAQIB KHAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-05
Name of individual signing SAQIB KHAN
Valid signature Filed with authorized/valid electronic signature
PAIN MEDICINE, INC. CASH BALANCE PLAN 2022 262725955 2023-04-25 PAIN MEDICINE, INC. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 8636827246
Plan sponsor’s address 541 S. FLORIDA AVE, LAKELAND, FL, 33801
PAIN MEDICINE, INC. CASH BALANCE PLAN 2021 262725955 2022-09-27 PAIN MEDICINE, INC. 26
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 8636827246
Plan sponsor’s address 541 S. FLORIDA AVE, LAKELAND, FL, 33801
PAIN MEDICINE, INC. 401(K) PLAN 2021 262725955 2022-09-15 PAIN MEDICINE, INC. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 8636827246
Plan sponsor’s address 541 S. FLORIDA AVE, LAKELAND, FL, 33801

Signature of

Role Plan administrator
Date 2022-09-15
Name of individual signing SAQIB KHAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-09-15
Name of individual signing SAQIB KHAN
Valid signature Filed with authorized/valid electronic signature
PAIN MEDICINE, INC. CASH BALANCE PLAN 2020 262725955 2021-09-10 PAIN MEDICINE, INC. 28
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 8636827246
Plan sponsor’s address 541 S. FLORIDA AVE, LAKELAND, FL, 33801
PAIN MEDICINE, INC. 401(K) PLAN 2020 262725955 2021-10-12 PAIN MEDICINE, INC. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 8636827246
Plan sponsor’s address 541 S. FLORIDA AVE, LAKELAND, FL, 33801

Signature of

Role Plan administrator
Date 2021-10-12
Name of individual signing SAIBK KHAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-12
Name of individual signing SAIBK KHAN
Valid signature Filed with authorized/valid electronic signature
PAIN MEDICINE, INC. CASH BALANCE PLAN 2019 262725955 2020-07-07 PAIN MEDICINE, INC. 28
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 8636827246
Plan sponsor’s address 541 S. FLORIDA AVE, LAKELAND, FL, 33801
PAIN MEDICINE, INC. 401(K) PLAN 2019 262725955 2020-10-05 PAIN MEDICINE, INC. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 8636827246
Plan sponsor’s address 541 S. FLORIDA AVE, LAKELAND, FL, 33801

Signature of

Role Plan administrator
Date 2020-10-05
Name of individual signing SAQIB KHAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-05
Name of individual signing SAQIB KHAN
Valid signature Filed with authorized/valid electronic signature
PAIN MEDICINE, INC. CASH BALANCE PLAN 2018 262725955 2019-07-24 PAIN MEDICINE, INC. 26
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 8636827246
Plan sponsor’s address 541 S. FLORIDA AVE, LAKELAND, FL, 33801

Agent

Name Role Address
KHAN SAQIB Agent 541 S. Florida Avenue, LAKELAND, FL, 33801

President

Name Role Address
KHAN SAQIB President 541 S. Florida Avenue, LAKELAND, FL, 33801

Director

Name Role Address
KHAN SAQIB Director 541 S. Florida Avenue, LAKELAND, FL, 33801

Events

Event Type Filed Date Value Description
AMENDMENT 2023-08-25 No data No data
CHANGE OF PRINCIPAL ADDRESS 2017-04-13 541 S. Florida Avenue, LAKELAND, FL 33801 No data
CHANGE OF MAILING ADDRESS 2017-04-13 541 S. Florida Avenue, LAKELAND, FL 33801 No data
REGISTERED AGENT ADDRESS CHANGED 2017-04-13 541 S. Florida Avenue, LAKELAND, FL 33801 No data
CANCEL ADM DISS/REV 2009-10-20 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2009-09-25 No data No data

Documents

Name Date
ANNUAL REPORT 2025-01-22
ANNUAL REPORT 2024-01-12
Amendment 2023-08-25
ANNUAL REPORT 2023-01-31
ANNUAL REPORT 2022-03-07
ANNUAL REPORT 2021-04-29
ANNUAL REPORT 2020-01-21
ANNUAL REPORT 2019-04-30
ANNUAL REPORT 2018-04-30
ANNUAL REPORT 2017-04-13

Date of last update: 01 Feb 2025

Sources: Florida Department of State