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INTERVENTIONAL PAIN INSTITUTE OF WEST FLORIDA, INC - Florida Company Profile

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Company Details

Entity Name: INTERVENTIONAL PAIN INSTITUTE OF WEST FLORIDA, INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 25 Oct 2012 (13 years ago)
Date of dissolution: 18 Jul 2013 (12 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 18 Jul 2013 (12 years ago)
Document Number: P12000089960
FEI/EIN Number 461264244
Address: 7412 COMMUNITY COURT, HUDSON, FL, 34667, US
Mail Address: 7412 COMMUNITY COURT, HUDSON, FL, 34667, US
ZIP code: 34667
City: Hudson
County: Pasco
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
HASHIM MARK NMD President 7412 COMMUNITY COURT, HUDSON, FL, 34667
HASHIM CHRISTINE NCRNA, A Vice President 7412 COMMUNITY COURT, HUDSON, FL, 34667
HASHIM CHRISTINE N Agent 7412 COMMUNITY COURT, HUDSON, FL, 34667

National Provider Identifier

NPI Number:
1932452034

Authorized Person:

Name:
MARK HASHIM
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
208VP0014X - Interventional Pain Medicine Physician
Is Primary:
No
Selected Taxonomy:
207LP2900X - Pain Medicine (Anesthesiology) Physician
Is Primary:
Yes

Contacts:

Fax:
8285868209

Form 5500 Series

Employer Identification Number (EIN):
592927033
Plan Year:
2024
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
4
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2013-07-18 - -

Documents

Name Date
Voluntary Dissolution 2013-07-18
ANNUAL REPORT 2013-04-30
Domestic Profit 2012-10-25

USAspending Awards / Financial Assistance

Date:
2020-04-30
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
37600.00
Total Face Value Of Loan:
37600.00

Paycheck Protection Program

Jobs Reported:
4
Initial Approval Amount:
$37,600
Date Approved:
2020-04-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$37,600
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$38,003.81
Servicing Lender:
Regions Bank
Use of Proceeds:
Payroll: $37,600

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Date of last update: 01 Aug 2025

Sources: Florida Department of State