| Entity Name: | PAIN AND SUPPORTIVE CARE, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
PAIN AND SUPPORTIVE CARE, PA is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 21 Apr 2015 (10 years ago) |
| Document Number: | P15000035979 |
| FEI/EIN Number |
47-3791093
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 13801 Bruce B. Downs Blvd, Suite 406, Tampa, FL, 33613, US |
| Mail Address: | 13801 Bruce B. Downs Blvd, Suite 406, Tampa, FL, 33613, US |
| ZIP code: | 33613 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023467974 | 2016-06-10 | 2016-06-10 | 6612 THORNTON PALMS DR, TAMPA, FL, 336475104, US | 6612 THORNTON PALMS DR, TAMPA, FL, 336475104, US | |||||||||||||||
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| Phone | +1 813-399-2128 |
| Fax | 7272458661 |
Authorized person
| Name | DR. JOSE E SARRIA |
| Role | PRESIDENT |
| Phone | 8133992128 |
Taxonomy
| Taxonomy Code | 208VP0014X - Interventional Pain Medicine Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PAIN AND SUPPORTIVE CARE, PA 401(K) PLAN | 2022 | 473791093 | 2023-10-16 | PAIN AND SUPPORTIVE CARE, PA | 11 | |||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2023-10-16 |
| Name of individual signing | KELLY MCDOWELL |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8134440989 |
| Plan sponsor’s address | 13801 BRUCE B. DOWNS BLVD., SUITE 406, TAMPA, FL, 33613 |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8134440989 |
| Plan sponsor’s address | 13801 BRUCE B. DOWNS BLVD., SUITE 406, TAMPA, FL, 33613 |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8134440989 |
| Plan sponsor’s address | 13801 BRUCE B. DOWNS BLVD., SUITE 406, TAMPA, FL, 33613 |
| Name | Role | Address |
|---|---|---|
| Sarria Jose EDR. | President | 17233 Emerald Chase Drive, Tampa, FL, 33647 |
| Sarria Jose EDR. | Secretary | 17233 Emerald Chase Drive, Tampa, FL, 33647 |
| Sarria Jose EDR. | Treasurer | 17233 Emerald Chase Drive, Tampa, FL, 33647 |
| DOM LAW, PA | Auth | - |
| Dom Law, P.A. | Agent | 1814 N. 15th Street, Tampa, FL, 33605 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000118878 | ASPIRE PAIN RELIEF INSTITUTE | EXPIRED | 2019-11-04 | 2024-12-31 | - | 6612 THORNTON PALMS DRIVE, TAMPA, FL, 33647 |
| G17000036160 | THE PEREGRINE INSTITUTE | ACTIVE | 2017-04-04 | 2027-12-31 | - | 13801 BRUCE B. DOWNS BOULEVARD, SUITE 406, TAMPA, FL, 33613 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-06-30 | 13801 Bruce B. Downs Blvd, Suite 406, Tampa, FL 33613 | - |
| CHANGE OF MAILING ADDRESS | 2020-06-30 | 13801 Bruce B. Downs Blvd, Suite 406, Tampa, FL 33613 | - |
| REGISTERED AGENT NAME CHANGED | 2020-06-30 | Dom Law, P.A. | - |
| REGISTERED AGENT ADDRESS CHANGED | 2020-06-30 | 1814 N. 15th Street, Tampa, FL 33605 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-09 |
| ANNUAL REPORT | 2023-01-25 |
| ANNUAL REPORT | 2022-02-24 |
| ANNUAL REPORT | 2021-01-08 |
| AMENDED ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2020-01-27 |
| ANNUAL REPORT | 2019-04-02 |
| ANNUAL REPORT | 2018-01-14 |
| ANNUAL REPORT | 2017-03-15 |
| ANNUAL REPORT | 2016-04-29 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 9592227005 | 2020-04-09 | 0455 | PPP | 13801 Bruce B Downs Blvd,406, Tampa, FL, 33613 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 7357448303 | 2021-01-28 | 0455 | PPS | 17233 Emerald Chase Dr, Tampa, FL, 33647-2784 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 03 Apr 2025
Sources: Florida Department of State
