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PRIME INTERVENTIONAL CONSULTANTS CORP. - Florida Company Profile

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Company Details

Entity Name: PRIME INTERVENTIONAL CONSULTANTS CORP.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 27 Feb 2023 (2 years ago)
Document Number: P23000017379
FEI/EIN Number 92-2833439
Address: 3740 Embassy Cir, Palm Harbor, FL, 34685, US
Mail Address: 3740 Embassy Cir, Palm Harbor, FL, 34685, US
ZIP code: 34685
City: Palm Harbor
County: Pinellas
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
SRINIVASAN PATTANAM President 3740 Embassy Cir, Palm Harbor, FL, 34685
SRINIVASAN PATTANAM Agent 3740 Embassy Cir, Palm Harbor, FL, 34685

National Provider Identifier

NPI Number:
1710682539
Certification Date:
2023-04-01

Authorized Person:

Name:
DR. PATTANAM SRINIVASAN
Role:
MEDICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
208VP0014X - Interventional Pain Medicine Physician
Is Primary:
Yes

Contacts:

Documents

Name Date
ANNUAL REPORT 2024-04-10
Domestic Profit 2023-02-27

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Date of last update: 03 Aug 2025

Sources: Florida Department of State