| Entity Name: | INFINITY MEDICAL INSTITUTE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 20 Nov 2012 (12 years ago) |
| Document Number: | L12000146386 |
| FEI/EIN Number | 46-1450145 |
| Address: | 1715 N WESTSHORE BLVD, SUITE 100, TAMPA, FL, 33607 |
| Mail Address: | 1715 N WESTSHORE BLVD, SUITE 100, TAMPA, FL, 33607 |
| ZIP code: | 33607 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962879866 | 2015-08-26 | 2015-08-26 | 1715 N WEST SHORE BLVD, SUITE 100, TAMPA, FL, 336073925, US | 1715 N WEST SHORE BLVD, SUITE 100, TAMPA, FL, 336073925, US | |||||||||||||||||
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| Phone | +1 813-871-2929 |
Authorized person
| Name | MORIAH MOFFITT |
| Role | MEDICAL DIRECTOR |
| Phone | 8138712929 |
Taxonomy
| Taxonomy Code | 302F00000X - Exclusive Provider Organization |
| License Number | 606402 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MONTEMURRO MICHAEL R | Agent | 5531 WINHAWK WAY, LUTZ, FL, 33558 |
| Name | Role | Address |
|---|---|---|
| MONTEMURRO MICHAEL R | Managing Member | 5531 WINHAWK WAY, LUTZ, FL, 33558 |
| Name | Role | Address |
|---|---|---|
| Montemurro Kathleen | Auth | 5531 Winhawk Way, Lutz, FL, 33558 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2017-05-01 | MONTEMURRO, MICHAEL R | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-05-01 | 5531 WINHAWK WAY, LUTZ, FL 33558 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-06-29 |
| ANNUAL REPORT | 2019-04-22 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-05-01 |
| ANNUAL REPORT | 2016-04-28 |
| ANNUAL REPORT | 2015-04-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
