| Entity Name: | INFINITE SUPPORT SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 31 Aug 2017 (7 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 17 Oct 2024 (4 months ago) |
| Document Number: | L17000186641 |
| FEI/EIN Number | 822669306 |
| Address: | 1345 N Grandview St, Mount Dora, FL, 32757, US |
| Mail Address: | 1345 N Grandview St, Mount Dora, FL, 32757, US |
| ZIP code: | 32757 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356925184 | 2021-05-07 | 2021-05-07 | 4420 S US 27, 4, CLERMONT, FL, 34711, US | 4420 S US 27, 4, CLERMONT, FL, 34711, US | |||||||||||||||||||
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| Phone | +1 407-986-7557 |
Authorized person
| Name | DEPORSHIA BLACKMON |
| Role | ADMINISTRATOR |
| Phone | 4079867557 |
Taxonomy
| Taxonomy Code | 343900000X - Non-emergency Medical Transport (VAN) |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 109915700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Blackmon Deporshia | Agent | 1345 N Grandview St, Mount Dora, FL, 32757 |
| Name | Role | Address |
|---|---|---|
| Blackmon Deporshia | Authorized Member | 1345 N Grandview St, Mount Dora, FL, 32757 |
| Name | Role | Address |
|---|---|---|
| Blackmon Chaswan | Auth | 1345 N Grandview St, Mount Dora, FL, 32757 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000071642 | GAZELLE FINANCIAL | ACTIVE | 2020-06-24 | 2025-12-31 | No data | 4420 S US 27, STE 4, CLERMONT, FL, 34711 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2024-10-17 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-12 | 1345 N Grandview St, Mount Dora, FL 32757 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-12 | 1345 N Grandview St, Mount Dora, FL 32757 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-12 | 1345 N Grandview St, Mount Dora, FL 32757 | No data |
| LC AMENDMENT | 2019-04-29 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-02-27 | Blackmon, Deporshia | No data |
| REINSTATEMENT | 2019-02-27 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| LC AMENDMENT | 2017-12-15 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2024-10-17 |
| ANNUAL REPORT | 2023-07-11 |
| ANNUAL REPORT | 2022-04-12 |
| ANNUAL REPORT | 2021-04-07 |
| AMENDED ANNUAL REPORT | 2020-04-16 |
| AMENDED ANNUAL REPORT | 2020-03-28 |
| ANNUAL REPORT | 2020-02-06 |
| LC Amendment | 2019-04-29 |
| REINSTATEMENT | 2019-02-27 |
| LC Amendment | 2017-12-15 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 8994388306 | 2021-01-30 | 0491 | PPS | 4420 S US 27, CLERMONT, FL, 34711 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Feb 2025
Sources: Florida Department of State
