| Entity Name: | ADVANCED INTERVENTIONAL PAIN CENTER FL INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 02 Feb 2017 (8 years ago) |
| Document Number: | P17000011224 |
| FEI/EIN Number | 81-5370573 |
| Address: | 2189 Cleveland Street, CLEARWATER, FL, 33765, US |
| Mail Address: | 2189 Cleveland Street, CLEARWATER, FL, 33765, US |
| ZIP code: | 33765 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700403847 | 2020-07-05 | 2023-09-11 | 2189 CLEVELAND ST STE 211, CLEARWATER, FL, 337653213, US | 2189 CLEVELAND ST STE 211, CLEARWATER, FL, 337653213, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 727-474-6507 |
Authorized person
| Name | DR. PATTANAM SRINIVASAN |
| Role | MEDICAL DIRECTOR |
| Phone | 7658910721 |
Taxonomy
| Taxonomy Code | 208VP0014X - Interventional Pain Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Srinivasan Dharshini | Agent | 2189 Cleveland Street, CLEARWATER, FL, 33765 |
| Name | Role | Address |
|---|---|---|
| SRINIVASAN PATTANAM | President | 2189 Cleveland Street, CLEARWATER, FL, 33765 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-19 | 2189 Cleveland Street, STE 211, CLEARWATER, FL 33765 | No data |
| CHANGE OF MAILING ADDRESS | 2024-03-19 | 2189 Cleveland Street, STE 211, CLEARWATER, FL 33765 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-19 | 2189 Cleveland Street, STE 211, CLEARWATER, FL 33765 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-04-01 | Srinivasan, Dharshini | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-19 |
| ANNUAL REPORT | 2023-04-01 |
| ANNUAL REPORT | 2022-04-11 |
| ANNUAL REPORT | 2021-04-18 |
| ANNUAL REPORT | 2020-06-01 |
| ANNUAL REPORT | 2019-04-27 |
| ANNUAL REPORT | 2018-04-28 |
| Domestic Profit | 2017-02-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
