| 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: | 2189 CLEVELAND ST., SUITE 211, CLEARWATER, FL, 33765 |
| Mail Address: | 2189 CLEVELAND ST., SUITE 211, CLEARWATER, FL, 33765 |
| ZIP code: | 33765 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710682539 | 2023-04-03 | 2023-04-03 | 2189 CLEVELAND ST STE 211, CLEARWATER, FL, 337653213, US | 2189 CLEVELAND ST STE 211, CLEARWATER, FL, 337653213, US | |||||||||||||
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| Phone | +1 727-469-3733 |
Authorized person
| Name | DR. PATTANAM SRINIVASAN |
| Role | MEDICAL DIRECTOR |
| Phone | 7658910721 |
Taxonomy
| Taxonomy Code | 208VP0014X - Interventional Pain Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SRINIVASAN PATTANAM | Agent | 2189 CLEVELAND ST., CLEARWATER, FL, 33765 |
| Name | Role | Address |
|---|---|---|
| SRINIVASAN PATTANAM | President | 2189 CLEVELAND ST. SUITE 211, CLEARWATER, FL, 33765 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-10 |
| Domestic Profit | 2023-02-27 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
