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FULL SERVICE PAIN MANAGEMENT INC. - Florida Company Profile

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Company Details

Entity Name: FULL SERVICE PAIN MANAGEMENT INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 01 Aug 2008 (17 years ago)
Date of dissolution: 28 Jan 2014 (12 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 28 Jan 2014 (12 years ago)
Document Number: P08000072142
FEI/EIN Number 263106189
Address: 3107 W HALLANDALE BEACH BLVD, SUITE #102, PEMBROKE PARK, FL, 33009
Mail Address: 3107 W HALLANDALE BEACH BLVD, SUITE #102, PEMBROKE PARK, FL, 33009
ZIP code: 33009
City: Hallandale
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
FRIEDBERG GARRY MD President 3128 CORAL WAY, MIAMI, FL, 33145
FRIEDBERG GARRY MD Secretary 3128 CORAL WAY, MIAMI, FL, 33145
FRIEDBERG GARRY MD Director 3128 CORAL WAY, MIAMI, FL, 33145
JAVIER BANOS, ESQ PA Agent 3128 CORAL WAY, MIAMI, FL, 33145

National Provider Identifier

NPI Number:
1679883656

Authorized Person:

Name:
EDUARDO MILA PRATS
Role:
VP
Phone:

Taxonomy:

Selected Taxonomy:
261QP3300X - Pain Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
9549872360

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2014-01-28 - -
REINSTATEMENT 2013-11-07 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2013-09-27 - -
REGISTERED AGENT ADDRESS CHANGED 2012-04-25 3128 CORAL WAY, MIAMI, FL 33145 -
CHANGE OF PRINCIPAL ADDRESS 2011-04-25 3107 W HALLANDALE BEACH BLVD, SUITE #102, PEMBROKE PARK, FL 33009 -
CHANGE OF MAILING ADDRESS 2011-04-25 3107 W HALLANDALE BEACH BLVD, SUITE #102, PEMBROKE PARK, FL 33009 -
AMENDMENT 2010-08-16 - -
CANCEL ADM DISS/REV 2009-12-02 - -
REGISTERED AGENT NAME CHANGED 2009-12-02 JAVIER BANOS, ESQ PA -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2009-09-25 - -

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J15001082789 TERMINATED 1000000698565 BROWARD 2015-10-30 2025-12-04 $ 440.47 STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200, CORAL SPRINGS FL330654149
J15000515995 TERMINATED 1000000673157 BROWARD 2015-04-15 2025-04-27 $ 1,658.43 STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200, CORAL SPRINGS FL330654149
J15000515987 TERMINATED 1000000673156 BROWARD 2015-04-15 2035-04-27 $ 690.00 STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200, CORAL SPRINGS FL330654149
J13000812843 TERMINATED 1000000490359 BROWARD 2013-04-22 2033-04-24 $ 300.00 STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200, CORAL SPRINGS FL330654149
J13000304742 TERMINATED 1000000412214 BROWARD 2013-01-30 2033-02-06 $ 300.00 STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200, CORAL SPRINGS FL330654149

Documents

Name Date
VOLUNTARY DISSOLUTION 2014-01-28
REINSTATEMENT 2013-11-07
ANNUAL REPORT 2012-04-25
ANNUAL REPORT 2011-04-25
ANNUAL REPORT 2010-10-26
ANNUAL REPORT 2010-10-04
Amendment 2010-08-16
ANNUAL REPORT 2010-06-23
REINSTATEMENT 2009-12-02
Domestic Profit 2008-08-01

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Date of last update: 01 Aug 2025

Sources: Florida Department of State