| Entity Name: | ACTIVE PAIN AND INJURY, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 05 Nov 2010 (14 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 22 Dec 2015 (9 years ago) |
| Document Number: | P10000090009 |
| FEI/EIN Number | 27-3972413 |
| Address: | 1403 MEDICAL PLAZA DRIVE, SUITES 108/109, SANFORD, FL 32771 |
| Mail Address: | 1403 MEDICAL PLAZA DRIVE, SUITES 108/109, SANFORD, FL 32771 |
| ZIP code: | 32771 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427340975 | 2011-05-03 | 2023-04-24 | 1403 MEDICAL PLAZA DR, SUITE 109, SANFORD, FL, 327711000, US | 1403 MEDICAL PLAZA DR, SUITE 109, SANFORD, FL, 327711000, US | |||||||||||||||||
|
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| Phone | +1 407-330-6500 |
Authorized person
| Name | MRS. CHRISTA N PETRUSA |
| Role | PRESIDENT |
| Phone | 4073306500 |
Taxonomy
| Taxonomy Code | 208VP0000X - Pain Medicine Physician |
| License Number | HCC9058 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PETRUSA, CHRISTA N | Agent | 2313 INDEPENDENCE AVE, OVIEDO, FL 32765 |
| Name | Role | Address |
|---|---|---|
| PETRUSA, CHRISTA N | P. | 2313 INDEPENDENCE AVE, OVIEDO, FL 32765 |
| Name | Role | Address |
|---|---|---|
| HILL, CAROLINA P | President | PO BOX 702287, ST CLOUD, FL 34769 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2015-12-22 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2014-09-11 | PETRUSA, CHRISTA N | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-03-13 | 1403 MEDICAL PLAZA DRIVE, SUITES 108/109, SANFORD, FL 32771 | No data |
| CHANGE OF MAILING ADDRESS | 2013-03-13 | 1403 MEDICAL PLAZA DRIVE, SUITES 108/109, SANFORD, FL 32771 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-17 |
| ANNUAL REPORT | 2023-04-12 |
| ANNUAL REPORT | 2022-04-20 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-05-05 |
| ANNUAL REPORT | 2019-04-12 |
| ANNUAL REPORT | 2018-04-03 |
| ANNUAL REPORT | 2017-04-13 |
| ANNUAL REPORT | 2016-04-21 |
| Amendment | 2015-12-22 |
Date of last update: 24 Jan 2025
Sources: Florida Department of State
