| Entity Name: | INTEGRATED PAIN SERVICES, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 21 May 2018 (7 years ago) |
| Date of dissolution: | 28 Mar 2022 (3 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 28 Mar 2022 (3 years ago) |
| Document Number: | P18000046676 |
| FEI/EIN Number | 825440766 |
| Address: | 3101 unviversity blvd s, JACKSONVILLE, FL, 32216, US |
| Mail Address: | po box 550897, jacksonville, FL, 32255, US |
| ZIP code: | 32216 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508355181 | 2018-05-09 | 2021-06-07 | PO BOX 550897, JACKSONVILLE, FL, 322550897, US | 3101 UNIVERSITY BLVD S STE 200, JACKSONVILLE, FL, 322162753, US | |||||||||||||||
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| Phone | +1 904-717-9625 |
| Fax | 9046836499 |
Authorized person
| Name | MS. DEBORAH MENDEZ-VIGO |
| Role | CREDENTIALING MANAGER |
| Phone | 9049827447 |
Taxonomy
| Taxonomy Code | 208VP0000X - Pain Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| INCORP SERVICES, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| Barton William P | President | 4063 SALISBURY ROAD, JACKSONVILLE, FL, 32216 |
| Name | Role | Address |
|---|---|---|
| ADVANCED PAIN MANAGEMENT GROUP, INC, | Officer | PO BOX 16421, GREENVILLE, SC, 29606 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-17 | 3458 LAKESHORE DRIVE, TALLAHASSEE, FL 32312 | No data |
| VOLUNTARY DISSOLUTION | 2022-03-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-06-10 | 3101 unviversity blvd s, suite 200, JACKSONVILLE, FL 32216 | No data |
| CHANGE OF MAILING ADDRESS | 2021-06-10 | 3101 unviversity blvd s, suite 200, JACKSONVILLE, FL 32216 | No data |
| REINSTATEMENT | 2019-09-30 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-09-30 | Incorp Services, Inc | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J24000649234 | ACTIVE | 16-2023-CA-8354 | FOURTH JUDICIAL CIRCUIT COURT | 2024-07-09 | 2029-10-14 | $177,562.92 | UNIVERSITY PLACE HOLDINGS, INC., 7915 BAYMEADOWS WAY, 400, JACKSONVILLE, FL 32256 |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2022-03-28 |
| ANNUAL REPORT | 2021-04-05 |
| ANNUAL REPORT | 2020-07-27 |
| REINSTATEMENT | 2019-09-30 |
| Domestic Profit | 2018-05-21 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
