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ADVANCED CARE PAIN MANAGEMENT CENTER, INC.

Company Details

Entity Name: ADVANCED CARE PAIN MANAGEMENT CENTER, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 29 Jun 2009 (16 years ago)
Date of dissolution: 28 Sep 2018 (6 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 28 Sep 2018 (6 years ago)
Document Number: P09000056126
FEI/EIN Number 27-0496242
Address: 2339 SOUTH U.S. HIGHWAY ONE, FORT PIERCE, FL 34982
Mail Address: 2339 SOUTH U.S. HIGHWAY ONE, FORT PIERCE, FL 34982
ZIP code: 34982
County: St. Lucie
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1184854960 2009-07-15 2010-04-07 2339 S US HIGHWAY 1, FORT PIERCE, FL, 349825920, US 2339 S US HIGHWAY 1, FORT PIERCE, FL, 349825920, US

Contacts

Phone +1 772-461-1008
Fax 7724610041

Authorized person

Name DR. DARSHAN SHAH
Role OWNER
Phone 7724611008

Taxonomy

Taxonomy Code 174400000X - Specialist
License Number ME47071
State FL
Is Primary Yes

Agent

Name Role Address
MILDNER, ROY T Agent 423 DELAWARE AVE., FORT PIERCE, FL 34950

Director

Name Role Address
SHAH, DARSHAN Director P.O. BOX 4212, VERO BEACH, FL 32964

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G09000158338 ADVANCED CARE PAIN RELIEF CENTER EXPIRED 2009-09-23 2014-12-31 No data 2339 SOUTH US HIGHWAY 1, FORT PIERCE, FL, 34982

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 No data No data

Documents

Name Date
ANNUAL REPORT 2017-04-28
ANNUAL REPORT 2016-04-28
ANNUAL REPORT 2015-04-28
ANNUAL REPORT 2014-04-22
ANNUAL REPORT 2013-04-18
ANNUAL REPORT 2012-04-11
ANNUAL REPORT 2011-08-23
ANNUAL REPORT 2010-03-09
Domestic Profit 2009-06-29

Date of last update: 25 Jan 2025

Sources: Florida Department of State