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PALM BEACH PAIN MANAGEMENT SPECIALISTS INC - Florida Company Profile

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Company Details

Entity Name: PALM BEACH PAIN MANAGEMENT SPECIALISTS INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

PALM BEACH PAIN MANAGEMENT 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: 17 Jan 2024 (a year ago)
Document Number: P24000004972
FEI/EIN Number 99-1143212

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 907 N FEDERAL HWY, BOYNTON BEACH, FL, 33435
Mail Address: 907 N FEDERAL HWY, BOYNTON BEACH, FL, 33435
ZIP code: 33435
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
SEVERSEN SHANNEN President 907 N FEDERAL HWY, BOYNTON BEACH, FL, 33435
SHANNEN SEVERSEN Agent 907 N FEDERAL HWY, BOYNTON BEACH, FL, 33435
Kryvicky James Dr. Officer 907 N FEDERAL HWY, BOYNTON BEACH, FL, 33435

National Provider Identifier

NPI Number:
1881453777
Certification Date:
2024-03-14

Authorized Person:

Name:
MS. SHANNEN SEVERSEN
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
208VP0014X - Interventional Pain Medicine Physician
Is Primary:
No
Selected Taxonomy:
261QP3300X - Pain Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
5612923730

Documents

Name Date
Domestic Profit 2024-01-17

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Date of last update: 01 Jun 2025

Sources: Florida Department of State