| Entity Name: | PAIN TREATMENT CENTER OF FLORIDA INCORPORATED |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 08 Aug 2011 (13 years ago) |
| Date of dissolution: | 01 May 2013 (12 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 01 May 2013 (12 years ago) |
| Document Number: | P11000070982 |
| FEI/EIN Number | 45-2933236 |
| Address: | 201 NOLAND DRIVE, BRANDON, FL 33511 |
| Mail Address: | P.O.BOX 1427, BRANDON, FL 33509 |
| ZIP code: | 33511 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891078861 | 2011-09-26 | 2011-09-26 | PO BOX 1005, LUTZ, FL, 335481005, US | 4106 HENDERSON BLVD, TAMPA, FL, 336295750, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 813-731-0416 |
Authorized person
| Name | DR. GEORGE S. SIDHOM |
| Role | GENERAL PARTNER |
| Phone | 8137310416 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BOLOS, PETER, DR. | Agent | 20325 FALLING ROCK DR., LAND OF LAKES, FL 34638 |
| Name | Role | Address |
|---|---|---|
| BOLOS, PETER, MD | President | 20325 FALLING ROCK DRIVE, LAND OF LAKES, FL 34638 |
| Name | Role | Address |
|---|---|---|
| YACOUB, EMAD, DR. | Vice President | 10211 FALCON TER, SEMINOLE, FL 33778 |
| Name | Role | Address |
|---|---|---|
| GEORGE, SIDHOM S, DR | Manager | 26091 MOUNTAIN LAKE RD, BROOKSVILLE, FL 34602 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2013-05-01 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-04-14 | 20325 FALLING ROCK DR., LAND OF LAKES, FL 34638 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-04-14 |
| Domestic Profit | 2011-08-08 |
Date of last update: 24 Jan 2025
Sources: Florida Department of State
