| Entity Name: | OPA-LOCKA PAIN MANAGEMENT CORP. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 03 Dec 2008 (16 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 29 Apr 2024 (9 months ago) |
| Document Number: | P08000105704 |
| FEI/EIN Number | 26-3821520 |
| Address: | 1470 N.W. 107 AVENUE, E, MIAMI, FL 33172 UN |
| Mail Address: | 1470 N.W. 107 AVENUE, E, MIAMI, FL 33172 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114159118 | 2009-08-10 | 2010-03-30 | 1865 NE 163RD ST, NORTH MIAMI BEACH, FL, 331624805, US | 1865 NE 163RD ST, NORTH MIAMI BEACH, FL, 331624805, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 305-948-9958 |
| Fax | 3059489518 |
Authorized person
| Name | DR. JOHN G PADRON |
| Role | DIRECTOR/OWNER |
| Phone | 3059489958 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME050431 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE ID-TYPE UNSPECIFIED |
| Number | 08587 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PADRON, JOHN G | Agent | 1470 NW 107 AVE, STE E, MIAMI, FL 33172 |
| Name | Role | Address |
|---|---|---|
| PADRON, JOHN G | President | 1470-E N.W. 107 AVENUE, MIAMI, FL 33172 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000096890 | OPA MEDICAL GROUP | ACTIVE | 2024-08-14 | 2029-12-31 | No data | 1470 NW 107TH AVENUE, SUITE E, DORAL, FL, 33172 |
| G15000020536 | OPA MEDICAL GROUP | EXPIRED | 2015-02-25 | 2020-12-31 | No data | 1470 NW 107 AVENUE SUITE E, MIAMI, FL, 33162 |
| G09000169895 | OPA MEDICAL GROUP | EXPIRED | 2009-10-28 | 2014-12-31 | No data | 1470 NW 107 AVENUE SUITE E, MIAMI, FL, 33172 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2024-04-29 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| REINSTATEMENT | 2018-05-02 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2016-04-06 | PADRON, JOHN G | No data |
| REINSTATEMENT | 2016-04-06 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| REINSTATEMENT | 2014-04-30 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-04-30 | 1470 N.W. 107 AVENUE, E, MIAMI, FL 33172 UN | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J17000532517 | LAPSED | 17-13456 CA (10) | CIRCUIT, MIAMI-DADE COUNTY, FL | 2017-08-31 | 2022-09-25 | $56,085.82 | CARTER-PRITCHETT-HODGES, INC. D/B/A CARTER OUTDOOR, 10675 S.W. 186TH STREET, SUITE 1045, MIAMI, FL 33157 |
| J16000468730 | TERMINATED | 1000000718295 | DADE | 2016-07-28 | 2036-08-04 | $ 330.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828 |
| J16000468748 | TERMINATED | 1000000718296 | DADE | 2016-07-28 | 2026-08-04 | $ 2,161.88 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828 |
| J15000466165 | TERMINATED | 1000000664794 | MIAMI-DADE | 2015-04-10 | 2035-04-17 | $ 330.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828 |
| J15000466173 | TERMINATED | 1000000664795 | MIAMI-DADE | 2015-04-10 | 2025-04-17 | $ 698.43 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828 |
| J14001157360 | TERMINATED | 1000000640964 | DADE | 2014-09-24 | 2034-12-17 | $ 330.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828 |
| J14001157378 | TERMINATED | 1000000640965 | DADE | 2014-09-22 | 2024-12-17 | $ 1,424.55 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828 |
| J13001151399 | TERMINATED | 1000000440553 | MIAMI-DADE | 2013-06-18 | 2033-06-26 | $ 330.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828 |
| J13001151407 | TERMINATED | 1000000440554 | MIAMI-DADE | 2013-06-18 | 2023-06-26 | $ 862.23 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828 |
| J13000106253 | TERMINATED | 1000000357871 | MIAMI-DADE | 2012-12-18 | 2023-01-16 | $ 968.84 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828 |
| Name | Date |
|---|---|
| REINSTATEMENT | 2024-04-29 |
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-08-28 |
| REINSTATEMENT | 2018-05-02 |
| REINSTATEMENT | 2016-04-06 |
| REINSTATEMENT | 2014-04-30 |
| ANNUAL REPORT | 2012-04-30 |
| DM# 04149-D REACTIVATION | 2011-04-22 |
Date of last update: 26 Jan 2025
Sources: Florida Department of State
