| Entity Name: | PAIN PHYSICIANS OF CENTRAL FLORIDA, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 23 Nov 2011 (13 years ago) |
| Document Number: | P11000100982 |
| FEI/EIN Number | 453912103 |
| Address: | 20 Burton Hills Blvd, Suite 500, NASHVILLE, TN, 37215, US |
| Mail Address: | 20 Burton Hills Blvd, Suite 500, NASHVILLE, TN, 37215, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659046027 | 2021-08-09 | 2021-08-09 | 5565 CENTERVIEW DR STE 107, RALEIGH, NC, 276063563, US | 22 W UNDERWOOD ST, ORLANDO, FL, 328061110, US | |||||||||||||
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| Phone | +1 877-328-1119 |
Authorized person
| Name | KATHLEEN KONDAS |
| Role | OFFICER |
| Phone | 8773281119 |
Taxonomy
| Taxonomy Code | 207LP2900X - Pain Medicine (Anesthesiology) Physician |
| Is Primary | Yes |
| CIK number | Mailing Address | Business Address | Phone | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1622636 | 20 BURTON HILLS BOULEVARD, NASHVILLE, TN, 37215 | 20 BURTON HILLS BOULEVARD, NASHVILLE, TN, 37215 | 615-665-1283 | |||||||||||||||||||||||||||||||||
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| Form type | 15-15D |
| File number | 333-201255-40 |
| Filing date | 2016-12-13 |
| File | View File |
Filings since 2015-01-16
| Form type | 424B3 |
| File number | 333-201255-40 |
| Filing date | 2015-01-16 |
| File | View File |
Filings since 2015-01-12
| Form type | EFFECT |
| File number | 333-201255-40 |
| Filing date | 2015-01-12 |
| File | View File |
Filings since 2014-12-24
| Form type | S-4 |
| File number | 333-201255-40 |
| Filing date | 2014-12-24 |
| File | View File |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| Loskove, M.D. Joseph | Director | 20 Burton Hills Blvd, NASHVILLE, TN, 37215 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000094637 | PAIN PHYSICIANS OF GREATER ORLANDO | EXPIRED | 2012-09-27 | 2017-12-31 | No data | 2699 LEE RD., SUITE 510, WINTER PARK, FL, 32789 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-18 | 20 Burton Hills Blvd, Suite 500, NASHVILLE, TN 37215 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-18 | 20 Burton Hills Blvd, Suite 500, NASHVILLE, TN 37215 | No data |
| REGISTERED AGENT NAME CHANGED | 2017-05-31 | CORPORATION SERVICE COMPANY | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-05-31 | 1201 HAYS STREET, TALLAHASSEE, FL 32301-2525 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-18 |
| ANNUAL REPORT | 2023-04-24 |
| ANNUAL REPORT | 2022-05-01 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-06-28 |
| ANNUAL REPORT | 2019-04-23 |
| ANNUAL REPORT | 2018-04-24 |
| Reg. Agent Change | 2017-05-31 |
| ANNUAL REPORT | 2017-04-25 |
| ANNUAL REPORT | 2016-04-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
