| Entity Name: | PREMIER PAIN INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 02 Aug 2023 (2 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 18 Oct 2023 (a year ago) |
| Document Number: | P23000056717 |
| FEI/EIN Number | 932675498 |
| Address: | 9050 PINE BLVD SUITE #301, PEMBROKE PINES, FL, 33024, US |
| Mail Address: | 9050 PINE BLVD SUITE #301, PEMBROKE PINES, FL, 33024, US |
| ZIP code: | 33024 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053183111 | 2023-10-23 | 2023-10-24 | 9050 PINES BLVD STE 301, PEMBROKE PINES, FL, 330246422, US | 9050 PINES BLVD STE 301, PEMBROKE PINES, FL, 330246422, US | |||||||||||||||||||||||
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| Phone | +1 754-888-9080 |
| Fax | 7548889280 |
Authorized person
| Name | NINEDTY CORDOVA |
| Role | OWNER |
| Phone | 7548889080 |
Taxonomy
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QP3300X - Pain Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| PUGA YANEXIS | Agent | 9900 STIRLING ROAD, COOPER CITY, FL, 33024 |
| Name | Role | Address |
|---|---|---|
| Cordova Muniz Ninedty | President | 9050 PINE BLVD SUITE #301, PEMBROKE PINES, FL, 33024 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-01-09 | PUGA, YANEXIS | No data |
| AMENDMENT | 2023-10-18 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-10-18 | 9050 PINE BLVD SUITE #301, PEMBROKE PINES, FL 33024 | No data |
| CHANGE OF MAILING ADDRESS | 2023-10-18 | 9050 PINE BLVD SUITE #301, PEMBROKE PINES, FL 33024 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-01-10 |
| ANNUAL REPORT | 2024-01-09 |
| Amendment | 2023-10-18 |
| Domestic Profit | 2023-08-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
