| Entity Name: | FLORIDA PAIN TREATMENT CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 22 Oct 1992 (32 years ago) |
| Document Number: | V73283 |
| FEI/EIN Number | 593301294 |
| Address: | 11780 SW 89TH STREET, 3RD FLOOR, MIAMI, FL, 33186 |
| Mail Address: | 11780 SW 89TH STREET, 3RD FLOOR, MIAMI, FL, 33186 |
| ZIP code: | 33186 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FLORIDA PAIN TREATMENT CENTER, INC. PROFIT SHARING PLAN | 2010 | 650393709 | 2011-11-28 | FLORIDA PAIN TREATMENT CENTER, INC. | 4 | |||||||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||||||||
| Administrator’s EIN | 650393709 |
| Plan administrator’s name | FLORIDA PAIN TREATMENT CENTER, INC. |
| Plan administrator’s address | 8396 S.W. 8TH STREET, 2ND FLOOR, MIAMI, FL, 331444180 |
| Administrator’s telephone number | 3052609803 |
Signature of
| Role | Plan administrator |
| Date | 2011-11-28 |
| Name of individual signing | CAMERON KELLY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1997-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 3052609803 |
| Plan sponsor’s address | 8396 S.W. 8TH STREET, 2ND FLOOR, MIAMI, FL, 331444180 |
Plan administrator’s name and address
| Administrator’s EIN | 650393709 |
| Plan administrator’s name | FLORIDA PAIN TREATMENT CENTER, INC. |
| Plan administrator’s address | 8396 S.W. 8TH STREET, 2ND FLOOR, MIAMI, FL, 331444180 |
| Administrator’s telephone number | 3052609803 |
Signature of
| Role | Plan administrator |
| Date | 2011-03-22 |
| Name of individual signing | CAMERON KELLY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1997-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 3052609803 |
| Plan sponsor’s address | 8396 S.W. 8TH STREET, 2ND FLOOR, MIAMI, FL, 331444180 |
Plan administrator’s name and address
| Administrator’s EIN | 650393709 |
| Plan administrator’s name | FLORIDA PAIN TREATMENT CENTER, INC. |
| Plan administrator’s address | 8396 S.W. 8TH STREET, 2ND FLOOR, MIAMI, FL, 331444180 |
| Administrator’s telephone number | 3052609803 |
Signature of
| Role | Plan administrator |
| Date | 2010-05-12 |
| Name of individual signing | RUBEN GONZALEZ, M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2010-05-12 |
| Name of individual signing | RUBEN GONZALEZ, M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| COLBERT CARL | Agent | 3001 PONCE DE LEON BLVD, CORAL GABLES, FL, 33134 |
| Name | Role | Address |
|---|---|---|
| GONZALEZ RUBEN M | President | 11780 SW 89th Street, Miami, FL, 33186 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CANCEL ADM DISS/REV | 2005-09-02 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2003-09-19 | No data | No data |
| REINSTATEMENT | 1994-12-22 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1994-08-26 | No data | No data |
| NAME CHANGE AMENDMENT | 1992-11-20 | FLORIDA PAIN TREATMENT CENTER, INC. | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
