| Entity Name: | TOTAL PAIN CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
TOTAL PAIN CARE, 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: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 05 Dec 1995 (29 years ago) |
| Date of dissolution: | 22 Sep 2000 (25 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2000 (25 years ago) |
| Document Number: | P95000093097 |
| FEI/EIN Number |
650626236
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 440 EAST SAMPLE ROAD #101, POMPANO BEACH, FL, 33064 |
| Mail Address: | 440 EAST SAMPLE ROAD #101, POMPANO BEACH, FL, 33064 |
| ZIP code: | 33064 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932229010 | 2007-03-30 | 2008-06-18 | 440 E SAMPLE RD, SUITE 101, POMPANO BEACH, FL, 330644444, US | 440 E SAMPLE RD, SUITE 101, POMPANO BEACH, FL, 330644444, US | |||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 954-788-9003 |
| Fax | 9547889631 |
Authorized person
| Name | ADEL AYAD KALLINI |
| Role | PROVIDERPHYSCIAN |
| Phone | 9547889003 |
Taxonomy
| Taxonomy Code | 207LP2900X - Pain Medicine (Anesthesiology) Physician |
| License Number | ME32795 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AMERIGROUP |
| Number | 208173 |
| State | FL |
| Issuer | MEDICAID |
| Number | 267476900 |
| State | FL |
| Issuer | NEIGHBORHOOD HEALTH |
| Number | 021477 |
| State | FL |
| Issuer | CARE PLUS |
| Number | 1013802 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KALLINI ADEL | Agent | 440 E SAMPLE RD, POMPANO BCH, FL, 33064 |
| KALLINI ADEL | Director | 440 E SAMPLE RD #101, POMPANO BEACH, FL, 33064 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2000-09-22 | - | - |
| REGISTERED AGENT NAME CHANGED | 1999-05-07 | KALLINI, ADEL | - |
| REGISTERED AGENT ADDRESS CHANGED | 1999-05-07 | 440 E SAMPLE RD, #101, POMPANO BCH, FL 33064 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 1999-05-07 |
| ANNUAL REPORT | 1998-05-13 |
| ANNUAL REPORT | 1997-05-05 |
| ANNUAL REPORT | 1996-08-07 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
