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ELITE PAIN SPECIALISTS, P.A. - Florida Company Profile

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Company Details

Entity Name: ELITE PAIN SPECIALISTS, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 26 May 2017 (8 years ago)
Document Number: P17000047331
FEI/EIN Number 47-5113723
Address: 13141 Spring Hill Drive, SPRING HILL, FL, 34609, US
Mail Address: 13141 Spring Hill Drive, SPRING HILL, FL, 34609, US
ZIP code: 34609
City: Spring Hill
County: Hernando
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
ISENALUMHE ANTHONY JR. President 13141 Spring Hill Drive, SPRING HILL, FL, 34609
ISENALUMHE LEIDY Secretary 13141 Spring Hill Drive, SPRING HILL, FL, 34609
ISENALUMHE ANTHONY JR. Agent 13141 Spring Hill Drive, SPRING HILL, FL, 34609

Unique Entity ID

Unique Entity ID:
PEXRNKS3J474
UEI Expiration Date:
2026-02-03

Business Information

Doing Business As:
ELITE SPINE AND PAIN
Activation Date:
2025-02-05
Initial Registration Date:
2024-06-05

National Provider Identifier

NPI Number:
1396460622
Certification Date:
2022-10-10

Authorized Person:

Name:
DR. ANTHONY ISENALUMHE JR.
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207LP2900X - Pain Medicine (Anesthesiology) Physician
Is Primary:
Yes

Contacts:

Fax:
8134064691

Form 5500 Series

Employer Identification Number (EIN):
475113723
Plan Year:
2024
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
5
Sponsors Telephone Number:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000089753 ELITE SPINE AND PAIN ACTIVE 2022-07-29 2027-12-31 - 13141 SPRING HILL DRIVE, SPRING HILL, FL, 34609
G20000070680 ELITE PAIN AND SPINE SPECIALISTS ACTIVE 2020-06-22 2025-12-31 - 13141 SPRING HILL DRIVE, SPRING HILL, FL, 34609

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2019-05-06 13141 Spring Hill Drive, SPRING HILL, FL 34609 -
CHANGE OF MAILING ADDRESS 2019-05-06 13141 Spring Hill Drive, SPRING HILL, FL 34609 -
REGISTERED AGENT ADDRESS CHANGED 2019-05-06 13141 Spring Hill Drive, SPRING HILL, FL 34609 -

Documents

Name Date
ANNUAL REPORT 2024-04-20
ANNUAL REPORT 2023-03-05
ANNUAL REPORT 2022-04-17
ANNUAL REPORT 2021-04-18
ANNUAL REPORT 2020-06-22
ANNUAL REPORT 2019-05-06
ANNUAL REPORT 2018-04-08
Domestic Profit 2017-05-26

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Date of last update: 01 Aug 2025

Sources: Florida Department of State