| Entity Name: | INPATIENT MEDICAL SERVICES PAIN INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 13 Mar 2023 (2 years ago) |
| Document Number: | P23000021362 |
| FEI/EIN Number | 92-3142348 |
| Address: | 1154 LEE BLVD, SUITE 3, LEHIGH ACRES, FL, 33936, US |
| Mail Address: | PO BOX 4277, NORTH FORT MYERS, FL, 33918, US |
| ZIP code: | 33936 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437854411 | 2023-03-31 | 2023-03-31 | PO BOX 4277, N FORT MYERS, FL, 339184277, US | 1154 LEE BLVD STE 3, LEHIGH ACRES, FL, 339364852, US | |||||||||||||||
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| Phone | +1 239-230-2273 |
| Fax | 2392301125 |
Authorized person
| Name | DR. BALDIR ALBERTO LOPEZ ACOSTA |
| Role | PRESIDENT |
| Phone | 2392302273 |
Taxonomy
| Taxonomy Code | 207RG0300X - Geriatric Medicine (Internal Medicine) Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LOPEZ ACOSTA BALDIR A | Agent | 1154 LEE BLVD, LEHIGH ACRES, FL, 33936 |
| Name | Role | Address |
|---|---|---|
| LOPEZ ACOSTA BALDIR A | President | 1154 LEE BLVD, LEHIGH ACRES, FL, 33936 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-11 |
| Domestic Profit | 2023-03-13 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
