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  5. FLORIDA INFUSION SERVICES, INC.

FLORIDA INFUSION SERVICES, INC.

Company Details

Entity Name: FLORIDA INFUSION SERVICES, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 13 Jul 1987 (38 years ago)
Date of dissolution: 23 Sep 2016 (8 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2016 (8 years ago)
Document Number: J82552
FEI/EIN Number 59-2822698
Address: %RODOLFO CICCARELLO, 1053 PROGRESS COURT, PALM HARBOR, FL 34683
Mail Address: %RODOLFO CICCARELLO, 1053 PROGRESS COURT, PALM HARBOR, FL 34683
ZIP code: 34683
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1902977416 2006-11-13 2020-08-22 4190 CORPORATE COURT, PALM HARBOR, FL, 346831412, US 4190 CORPORATE COURT, PALM HARBOR, FL, 346831412, US

Contacts
Phone +1 727-943-9900
Fax 7279430852

Authorized person
Name MR. RODOLFO CICCARELLO
Role PRESIDENT
Phone 7279439900

Taxonomy
Taxonomy Code 332BP3500X - Parenteral & Enteral Nutrition Supplies (DME)
License Number PH9911
State FL
Is Primary No
Taxonomy Code 333600000X - Pharmacy
License Number PH 9911
State FL
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FLORIDA INFUSION SERVICES PROFIT SHARING PLAN 2013 592822698 2014-05-13 FLORIDA INFUSION SERVICES, INC. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-06-01
Business code 424210
Sponsor’s telephone number 7279421829
Plan sponsor’s address 1053 PROGRESS COURT, PALM HARBOR, FL, 34683

Signature of
Role Plan administrator
Date 2014-05-13
Name of individual signing RODOLFO CICCARELLO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-05-13
Name of individual signing RODOLFO CICCARELLO
Valid signature Filed with authorized/valid electronic signature
FLORIDA INFUSION SERVICES PROFIT SHARING PLAN 2012 592822698 2013-04-24 FLORIDA INFUSION SERVICES, INC. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-06-01
Business code 424210
Sponsor’s telephone number 7279421829
Plan sponsor’s address 1053 PROGRESS COURT, PALM HARBOR, FL, 34683

Signature of
Role Plan administrator
Date 2013-04-24
Name of individual signing ANNE BOMHARDT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-04-24
Name of individual signing ANNE BOMHARDT
Valid signature Filed with authorized/valid electronic signature
FLORIDA INFUSION SERVICES PROFIT SHARING PLAN 2011 592822698 2012-07-02 FLORIDA INFUSION SERVICES, INC. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-06-01
Business code 424210
Sponsor’s telephone number 7279421829
Plan sponsor’s address 1053 PROGRESS COURT, PALM HARBOR, FL, 34683

Plan administrator’s name and address
Administrator’s EIN 592822698
Plan administrator’s name FLORIDA INFUSION SERVICES, INC.
Plan administrator’s address 1053 PROGRESS COURT, PALM HARBOR, FL, 34683
Administrator’s telephone number 7279421829

Signature of
Role Plan administrator
Date 2012-07-02
Name of individual signing ANNE BOMHARDT
Valid signature Filed with authorized/valid electronic signature
FLORIDA INFUSION SERVICES PROFIT SHARING PLAN 2010 592822698 2011-05-19 FLORIDA INFUSION SERVICES, INC. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-06-01
Business code 424210
Sponsor’s telephone number 7279421829
Plan sponsor’s address 1053 PROGRESS COURT, PALM HARBOR, FL, 34683

Plan administrator’s name and address
Administrator’s EIN 592822698
Plan administrator’s name FLORIDA INFUSION SERVICES, INC.
Plan administrator’s address 1053 PROGRESS COURT, PALM HARBOR, FL, 34683
Administrator’s telephone number 7279421829

Signature of
Role Plan administrator
Date 2011-05-17
Name of individual signing ANNE BOMHARDT
Valid signature Filed with authorized/valid electronic signature
FLORIDA INFUSION SERVICES PROFIT SHARING PLAN 2009 592822698 2010-06-30 FLORIDA INFUSION SERVICES, INC. 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-06-01
Business code 424210
Sponsor’s telephone number 7279421829
Plan sponsor’s address 1053 PROGRESS COURT, PALM HARBOR, FL, 34683

Plan administrator’s name and address
Administrator’s EIN 592822698
Plan administrator’s name FLORIDA INFUSION SERVICES, INC.
Plan administrator’s address 1053 PROGRESS COURT, PALM HARBOR, FL, 34683
Administrator’s telephone number 7279421829

Signature of
Role Plan administrator
Date 2010-06-30
Name of individual signing ANNE BOMHARDT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-06-30
Name of individual signing ANNE BOMHARDT
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CICCARELLO, RODOLFO Agent 1053 PROGRESS COURT, PALM HARBOR, FL 34683

President

Name Role Address
CICCARELLO, RODOLFO President 1053 PROGRESS COURT, PALM HARBOR, FL

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 No data No data
AMENDED AND RESTATEDARTICLES 1995-12-29 No data No data
AMENDMENT 1994-09-22 No data No data
CHANGE OF PRINCIPAL ADDRESS 1992-06-26 %RODOLFO CICCARELLO, 1053 PROGRESS COURT, PALM HARBOR, FL 34683 No data
CHANGE OF MAILING ADDRESS 1992-06-26 %RODOLFO CICCARELLO, 1053 PROGRESS COURT, PALM HARBOR, FL 34683 No data
REGISTERED AGENT ADDRESS CHANGED 1992-06-26 1053 PROGRESS COURT, PALM HARBOR, FL 34683 No data

Documents

Name Date
ANNUAL REPORT 2015-01-06
ANNUAL REPORT 2014-04-20
Off/Dir Resignation 2013-12-23
ANNUAL REPORT 2013-04-15
ANNUAL REPORT 2012-03-26
ANNUAL REPORT 2011-04-25
ANNUAL REPORT 2010-04-20
ANNUAL REPORT 2009-02-23
ANNUAL REPORT 2008-04-22
ANNUAL REPORT 2007-01-22

Related by officers

CICCARELLO, RODOLFO

COCONUT INVESTMENT GROUP, INC.

Related by address

No related companies by address

Date of last update: 04 Feb 2025

Sources: Florida Department of State

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