| Entity Name: | AMERICAN INTERVENTIONAL PAIN INSTITUTE, CORP. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 01 Feb 2016 (9 years ago) |
| Document Number: | P16000010642 |
| FEI/EIN Number | 811345336 |
| Address: | 4897 S JOG RD, GREENACRES, FL, 33467, US |
| Mail Address: | 4897 S JOG RD, GREENACRES, FL, 33467, US |
| ZIP code: | 33467 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417316027 | 2016-02-11 | 2022-07-21 | 4897 S JOG RD, SUITE A, GREENACRES, FL, 334675000, US | 4897 S JOG RD, SUITE A, GREENACRES, FL, 334675000, US | |||||||||||||||||||||||
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| Phone | +1 561-880-8559 |
| Fax | 5618288583 |
| Phone | +1 561-641-0089 |
| Fax | 5614343440 |
Authorized person
| Name | THELMA RIVERA |
| Role | ADMINISTRATOR |
| Phone | 5614347577 |
Taxonomy
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| License Number | 0076064 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Gatz Bart Owner | Agent | 5338 Boca Marina Circle N, Boca Raton, FL, 33487 |
| Name | Role | Address |
|---|---|---|
| GATZ BART DR. | President | 4897 S JOG RD, GREENACRES, FL, 33467 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-04-26 | Gatz, Bart, Owner | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-26 | 5338 Boca Marina Circle N, Boca Raton, FL 33487 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-04-28 | 4897 S JOG RD, SUITE "A", GREENACRES, FL 33467 | No data |
| CHANGE OF MAILING ADDRESS | 2017-04-28 | 4897 S JOG RD, SUITE "A", GREENACRES, FL 33467 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-26 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-02-07 |
| ANNUAL REPORT | 2021-02-17 |
| ANNUAL REPORT | 2020-03-26 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-02-28 |
| AMENDED ANNUAL REPORT | 2017-04-28 |
| ANNUAL REPORT | 2017-01-10 |
| Domestic Profit | 2016-02-01 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
