| 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 (11 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 28 Jan 2014 (11 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 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679883656 | 2010-10-08 | 2010-10-08 | 3107 W. HALLANDALE BEACH BLVD, SUITE #102, PEMBROKE PARK, FL, 330095144, US | 3107 W. HALLANDALE BEACH BLVD, SUITE #102, PEMBROKE PARK, FL, 330095144, US | |||||||||||||||||||
|
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| Phone | +1 954-987-6100 |
| Fax | 9549872360 |
Authorized person
| Name | EDUARDO MILA PRATS |
| Role | VP |
| Phone | 9549876100 |
Taxonomy
| Taxonomy Code | 261QP3300X - Pain Clinic/Center |
| License Number | PMC541 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JAVIER BANOS, ESQ PA | Agent | 3128 CORAL WAY, MIAMI, FL, 33145 |
| Name | Role | Address |
|---|---|---|
| FRIEDBERG GARRY MD | President | 3128 CORAL WAY, MIAMI, FL, 33145 |
| Name | Role | Address |
|---|---|---|
| FRIEDBERG GARRY MD | Secretary | 3128 CORAL WAY, MIAMI, FL, 33145 |
| Name | Role | Address |
|---|---|---|
| FRIEDBERG GARRY MD | Director | 3128 CORAL WAY, MIAMI, FL, 33145 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2014-01-28 | No data | No data |
| REINSTATEMENT | 2013-11-07 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-04-25 | 3128 CORAL WAY, MIAMI, FL 33145 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-04-25 | 3107 W HALLANDALE BEACH BLVD, SUITE #102, PEMBROKE PARK, FL 33009 | No data |
| CHANGE OF MAILING ADDRESS | 2011-04-25 | 3107 W HALLANDALE BEACH BLVD, SUITE #102, PEMBROKE PARK, FL 33009 | No data |
| AMENDMENT | 2010-08-16 | No data | No data |
| CANCEL ADM DISS/REV | 2009-12-02 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2009-12-02 | JAVIER BANOS, ESQ PA | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| 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 |
| 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 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
