| Entity Name: | SOUTHEAST INTERVENTIONAL PAIN SPECIALISTS, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
SOUTHEAST INTERVENTIONAL PAIN SPECIALISTS, INC is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 12 Apr 2022 (3 years ago) |
| Document Number: | P22000031848 |
| FEI/EIN Number |
88-1789127
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 3781 SAN JOSE PLACE, UNIT 27, JACKSONVILLE, FL, 32257, US |
| Mail Address: | 3781 SAN JOSE PLACE, UNIT 27, JACKSONVILLE, FL, 32257, US |
| ZIP code: | 32257 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710618160 | 2022-06-17 | 2024-04-10 | 3750 SAN JOSE PL STE 35, JACKSONVILLE, FL, 322578861, US | 12276 SAN JOSE BLVD STE 210, JACKSONVILLE, FL, 322238631, US | |||||||||||||||
|
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| Phone | +1 904-717-9625 |
| Fax | 9046836499 |
Authorized person
| Name | KENNETH JOSEPH EADDY |
| Role | PHYSICIAN |
| Phone | 9047179625 |
Taxonomy
| Taxonomy Code | 208VP0014X - Interventional Pain Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JAMAR D. JORDAN, P.A. | Agent | 11900 BISCAYNE BLVD, NORTH MIAMI, FL, 33181 |
| JOHNSON DONNA | Treasurer | 3781 SAN JOSE PLACE, JACKSONVILLE, FL, 32257 |
| Fura Abraham DR | President | 3781 SAN JOSE PLACE, JACKSONVILLE, FL, 32257 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-06 |
| ANNUAL REPORT | 2024-02-28 |
| ANNUAL REPORT | 2023-02-10 |
| Domestic Profit | 2022-04-12 |
Date of last update: 03 May 2025
Sources: Florida Department of State
