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BRANDON PAIN MEDICINE, INC. - Florida Company Profile

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Company Details

Entity Name: BRANDON PAIN MEDICINE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 04 Jun 2009 (16 years ago)
Date of dissolution: 25 Sep 2015 (10 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2015 (10 years ago)
Document Number: P09000049168
FEI/EIN Number 270344958
Mail Address: 25 TREASURE DRIVE, TAMPA, FL, 33609
Address: 935 Oakfield Drive, TAMPA, FL, 33511, US
ZIP code: 33511
City: Brandon
County: Hillsborough
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
MIGUEL RAFAEL V Director 25 TREASURE DRIVE, TAMPA, FL, 33609
MIGUEL RAFAEL VMD President 25 TREASURE DRIVE, TAMPA, FL, 33609
MIGUEL RAFAEL VMD Agent 25 TREASURE DRIVE, TAMPA, FL, 33609

Unique Entity ID

CAGE Code:
6Y8E4
UEI Expiration Date:
2014-08-08

Business Information

Activation Date:
2013-08-12
Initial Registration Date:
2013-08-08

Commercial and government entity program

CAGE number:
6Y8E4
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2023-06-23

Contact Information

POC:
RAFAEL MIGUEL

National Provider Identifier

NPI Number:
1881821783

Authorized Person:

Name:
DR. RAFAEL V MIGUEL
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207LP2900X - Pain Medicine (Anesthesiology) Physician
Is Primary:
Yes

Contacts:

Fax:
8135717017

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2015-09-25 - -
CHANGE OF PRINCIPAL ADDRESS 2014-04-24 935 Oakfield Drive, TAMPA, FL 33511 -
REINSTATEMENT 2013-06-22 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2012-09-28 - -
REINSTATEMENT 2011-10-05 - -
REGISTERED AGENT NAME CHANGED 2011-10-05 MIGUEL, RAFAEL V, MD -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2011-09-23 - -

Documents

Name Date
ANNUAL REPORT 2014-04-24
REINSTATEMENT 2013-06-22
REINSTATEMENT 2011-10-05
ANNUAL REPORT 2010-09-17
Domestic Profit 2009-06-04

USAspending Awards / Contracts

Procurement Instrument Identifier:
DJD13HQP0856
Award Or Idv Flag:
AWARD
Award Type:
PO
Action Obligation:
-3150.00
Base And Exercised Options Value:
-3150.00
Base And All Options Value:
-3150.00
Awarding Agency Name:
Department of Justice
Performance Start Date:
2013-09-09
Description:
IGF::OT::IGF EXPERT TESTIMONY
Naics Code:
541990: ALL OTHER PROFESSIONAL, SCIENTIFIC, AND TECHNICAL SERVICES
Product Or Service Code:
R424: SUPPORT- PROFESSIONAL: EXPERT WITNESS

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Date of last update: 03 Aug 2025

Sources: Florida Department of State