| Entity Name: | MEDISERV INFUSION, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 14 Jul 2008 (17 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 30 Aug 2022 (2 years ago) |
| Document Number: | L08000067609 |
| FEI/EIN Number | 262977297 |
| Address: | 3030 N. ROCKY POINT DR., SUITE 825, TAMPA, FL, 33607, US |
| Mail Address: | 3030 N. ROCKY POINT DR., SUITE 825, TAMPA, FL, 33607, US |
| ZIP code: | 33607 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275782450 | 2008-09-12 | 2022-07-01 | 3830 BEE RIDGE RD, SUITE 101, SARASOTA, FL, 342331105, US | 3830 BEE RIDGE RD STE 101, SARASOTA, FL, 342331105, US | |||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 941-225-2005 |
| Fax | 9412551701 |
Authorized person
| Name | VISHAL DOSHI |
| Role | PHARMACIST |
| Phone | 9412252005 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | Yes |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH23572 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336S0011X - Specialty Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | PK |
| Number | 2154654 |
| Issuer | MEDICAID |
| Number | 016419300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL, 33324 |
| Name | Role |
|---|---|
| FLORIDA MEDICAL SPECIALISTS, LLC | Authorized Member |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000012654 | MEDS MADE EASY PHARMACY | EXPIRED | 2017-02-03 | 2022-12-31 | No data | 3830 BEE RIDGE ROAD, STE. 101, SARASOTA, FL, 34233 |
| G15000084773 | MEDS MADE EASY | EXPIRED | 2015-08-17 | 2020-12-31 | No data | 5831 BEE RIDGE ROAD, SUITE 210, SARASOTA, FL, 34233 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2022-08-30 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-05-06 | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-05-06 | 3030 N. ROCKY POINT DR., SUITE 825, TAMPA, FL 33607 | No data |
| CHANGE OF MAILING ADDRESS | 2022-05-06 | 3030 N. ROCKY POINT DR., SUITE 825, TAMPA, FL 33607 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-05-06 | CT CORPORATION SYSTEM | No data |
| LC AMENDMENT | 2022-05-06 | No data | No data |
| LC AMENDMENT | 2015-08-11 | No data | No data |
| REINSTATEMENT | 2015-03-26 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-01 |
| ANNUAL REPORT | 2023-02-27 |
| LC Amendment | 2022-08-30 |
| LC Amendment | 2022-05-06 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-01-29 |
| ANNUAL REPORT | 2020-01-24 |
| ANNUAL REPORT | 2019-04-12 |
| ANNUAL REPORT | 2018-04-25 |
| AMENDED ANNUAL REPORT | 2017-03-25 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
