| Entity Name: | FLORIDA PAIN CARE AND REHAB, CORP. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 22 Jul 2010 (15 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | P10000060633 |
| FEI/EIN Number | 352385659 |
| Address: | 6005 Silver Star Road, Suite B, ORLANDO, FL, 32808, US |
| Mail Address: | 6005 Silver Star Road, Suite B, ORLANDO, FL, 32808, US |
| ZIP code: | 32808 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720383425 | 2011-01-11 | 2011-07-25 | 1456 S SEMORAN BLVD, ORLANDO, FL, 328072918, US | 1456 S SEMORAN BLVD, ORLANDO, FL, 328072918, US | |||||||||||||||||||||||||||||||||||
|
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| Phone | +1 407-482-3838 |
| Fax | 4073824095 |
Authorized person
| Name | MS. BENNIE SISON |
| Role | ADMINISTRATOR |
| Phone | 4074823838 |
Taxonomy
| Taxonomy Code | 111NR0400X - Rehabilitation Chiropractor |
| License Number | CH5539 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| License Number | HCC8963 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 261QR0400X - Rehabilitation Clinic/Center |
| License Number | HCC 8963 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Sison Bennie | Agent | 6005 Silver Star, Orlando, FL, 32803 |
| Name | Role | Address |
|---|---|---|
| SISON BENEDICTA | President | 6005 Silver Star Road, ORLANDO, FL, 32808 |
| Name | Role | Address |
|---|---|---|
| Balibalos Jenny S | Vice President | 6005 Silver Star Road, ORLANDO, FL, 32808 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-25 | 6005 Silver Star Road, Suite B, ORLANDO, FL 32808 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-01-25 | Sison , Bennie | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-25 | 6005 Silver Star, Suite A, Orlando, FL 32803 | No data |
| CHANGE OF MAILING ADDRESS | 2022-01-25 | 6005 Silver Star Road, Suite B, ORLANDO, FL 32808 | No data |
| AMENDMENT | 2010-10-21 | No data | No data |
| AMENDMENT | 2010-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-03-14 |
| ANNUAL REPORT | 2019-02-15 |
| ANNUAL REPORT | 2018-04-25 |
| ANNUAL REPORT | 2017-03-17 |
| ANNUAL REPORT | 2016-05-03 |
| ANNUAL REPORT | 2015-03-25 |
| ANNUAL REPORT | 2014-04-21 |
| ANNUAL REPORT | 2013-03-27 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
