| Entity Name: | ALLY MEDICAL SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 May 2011 (14 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 08 May 2020 (5 years ago) |
| Document Number: | L11000058663 |
| FEI/EIN Number | 452398815 |
| Address: | 4951-B E ADAMO DRIVE, STE. 220, TAMPA, FL, 33605-5913, US |
| Mail Address: | 4951-B E ADAMO DRIVE, STE. 220, TAMPA, FL, 33605-5913, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1881972040 | 2011-07-21 | 2020-02-25 | 4951B E ADAMO DR, SUITE 220, TAMPA, FL, 336055924, US | 4951B E ADAMO DR, SUITE 220, TAMPA, FL, 336055924, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 866-684-2507 |
| Fax | 8666952183 |
Authorized person
| Name | MR. TODD ELDER CIANFROCCA |
| Role | CEO |
| Phone | 8666842507 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 10026392200 |
| State | NE |
| Issuer | MEDICAID |
| Number | 1881972040 |
| State | WA |
| Issuer | MEDICAID |
| Number | 96001038 |
| State | NM |
| Issuer | MEDICAID |
| Number | 1881972040 |
| State | ID |
| Issuer | MEDICAID |
| Number | 1881972040 |
| State | MN |
| Issuer | MEDICAID |
| Number | 004438100 |
| State | FL |
| Issuer | MEDICAID |
| Number | 0094174 |
| State | OH |
| Issuer | MEDICAID |
| Number | 4225571 00 |
| State | MD |
| Issuer | MEDICAID |
| Number | 7100290040 |
| State | KY |
| Issuer | MEDICAID |
| Number | 1881972040 |
| State | MT |
| Issuer | MEDICAID |
| Number | 1881972040 |
| State | WY |
| Name | Role | Address |
|---|---|---|
| CIANFROCCA TODD E | Agent | 4951-B E ADAMO DRIVE, TAMPA, FL, 336055913 |
| Name | Role | Address |
|---|---|---|
| ACENTUS, LLC | Manager | No data |
| VALDIVIA JULIO | Manager | 4951-B E ADAMO DRIVE, TAMPA, FL, 336055913 |
| Name | Role | Address |
|---|---|---|
| CIANFROCCA TODD E | Managing Member | 4951-B E ADAMO DRIVE, TAMPA, FL, 336055913 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000042569 | ACENTUS | ACTIVE | 2018-04-02 | 2028-12-31 | No data | 4951-B E ADAMO DR, SUITE 220, TAMPA, FL, 33605 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2020-05-08 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-01-05 | 4951-B E ADAMO DRIVE, STE. 220, TAMPA, FL 33605-5913 | No data |
| CHANGE OF MAILING ADDRESS | 2012-01-05 | 4951-B E ADAMO DRIVE, STE. 220, TAMPA, FL 33605-5913 | No data |
| REGISTERED AGENT NAME CHANGED | 2012-01-05 | CIANFROCCA, TODD E | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-01-05 | 4951-B E ADAMO DRIVE, STE. 220, TAMPA, FL 33605-5913 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-07 |
| ANNUAL REPORT | 2024-01-03 |
| ANNUAL REPORT | 2023-01-21 |
| ANNUAL REPORT | 2022-01-28 |
| ANNUAL REPORT | 2021-01-13 |
| LC Amendment | 2020-05-08 |
| ANNUAL REPORT | 2020-01-15 |
| ANNUAL REPORT | 2019-02-09 |
| ANNUAL REPORT | 2018-01-17 |
| ANNUAL REPORT | 2017-01-09 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
