| Entity Name: | INTERVENTIONAL PAIN PROFESSIONALS OF FLORIDA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 24 Jan 2019 (6 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 18 Mar 2019 (6 years ago) |
| Document Number: | P19000008841 |
| FEI/EIN Number | 834134470 |
| Address: | 1926 10TH AVENUE NORTH, LAKE WORTH, FL, 33461, US |
| Mail Address: | 1926 10TH AVENUE NORTH, LAKE WORTH, FL, 33461, US |
| ZIP code: | 33461 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184187320 | 2019-04-12 | 2019-09-06 | 1926 10TH AVE N STE 100, LAKE WORTH, FL, 334613300, US | 1926 10TH AVE N STE 100, LAKE WORTH, FL, 334613300, US | |||||||||||||||
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| Phone | +1 561-461-7272 |
| Fax | 5615571176 |
Authorized person
| Name | DR. JAMES PADULA |
| Role | DOCTOR |
| Phone | 9546442880 |
Taxonomy
| Taxonomy Code | 208VP0014X - Interventional Pain Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TOPKIN SANFORD R | Agent | 1166 W. NEWPORT CENTER DR., DEERFIELD BEACH, FL, 33442 |
| Name | Role | Address |
|---|---|---|
| PADULA JAMES | President | 1926 10TH AVENUE NORTH, LAKE WORTH, FL, 33461 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-10-01 | 1926 10TH AVENUE NORTH, LAKE WORTH, FL 33461 | No data |
| CHANGE OF MAILING ADDRESS | 2025-10-01 | 1926 10TH AVENUE NORTH, LAKE WORTH, FL 33461 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-10-01 | 1926 10TH AVENUE NORTH, LAKE WORTH, FL 33461 | No data |
| CHANGE OF MAILING ADDRESS | 2024-10-01 | 1926 10TH AVENUE NORTH, LAKE WORTH, FL 33461 | No data |
| AMENDMENT | 2019-03-18 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-20 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-03-24 |
| ANNUAL REPORT | 2021-03-22 |
| ANNUAL REPORT | 2020-01-18 |
| Amendment | 2019-03-18 |
| Domestic Profit | 2019-01-24 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
