| Entity Name: | FLORIDA PAIN MANAGEMENT INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 02 Feb 1995 (30 years ago) |
| Document Number: | P95000008711 |
| FEI/EIN Number | 593291895 |
| Address: | 6333 54TH AVENUE NORTH, ST. PETERSBURG, FL, 33709, US |
| Mail Address: | PO BOX 48639, ST. PETERSBURG, FL, 33743, US |
| ZIP code: | 33709 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730288176 | 2006-09-22 | 2008-05-20 | 6333 54TH AVENUE NORTH, ST PETERSBURG, FL, 33709, US | 6333 54TH AVENUE NORTH, ST PETERSBURG, FL, 33709, US | |||||||||||||||||
|
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| Phone | +1 727-548-6100 |
| Fax | 7275450960 |
Authorized person
| Name | DR. KAZI HASSANE |
| Role | PRESIDENT OWNER |
| Phone | 7275486100 |
Taxonomy
| Taxonomy Code | 208VP0014X - Interventional Pain Medicine Physician |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Hassan Kazi Dr. | Agent | 6333 54TH AVENUE NORTH, ST. PETERSBURG, FL, 33709 |
| Name | Role | Address |
|---|---|---|
| HASSAN KAZI M | President | 6333 54TH AVENUE NORTH, ST. PETERSBURG, FL, 33709 |
| Name | Role | Address |
|---|---|---|
| HASSAN KAZI M | Vice President | 6333 54TH AVENUE NORTH, ST. PETERSBURG, FL, 33709 |
| Name | Role | Address |
|---|---|---|
| HASSAN KAZI M | Secretary | 6333 54TH AVENUE NORTH, ST. PETERSBURG, FL, 33709 |
| Name | Role | Address |
|---|---|---|
| HASSAN KAZI M | Treasurer | 6333 54TH AVENUE NORTH, ST. PETERSBURG, FL, 33709 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2015-11-09 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
