| Entity Name: | INFECTIOUS DISEASES SPECIALTY ASSOCIATES, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 13 Mar 2018 (7 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 19 Mar 2020 (5 years ago) |
| Document Number: | L18000065902 |
| FEI/EIN Number | 82-4818791 |
| Mail Address: | PO BOX 3716, OCALA, FL 34478 |
| Address: | 150 SE 17TH ST, Ste 801, OCALA, FL 34471 |
| ZIP code: | 34471 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871084426 | 2018-05-18 | 2018-08-24 | PO BOX 3716, OCALA, FL, 344783716, US | 150 SE 17TH ST STE 801, OCALA, FL, 34471, US | |||||||||||||||||
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| Phone | +1 352-362-6104 |
Authorized person
| Name | DR. ANTENEH M. ADDISU |
| Role | PRESIDENT |
| Phone | 3523626104 |
Taxonomy
| Taxonomy Code | 207RI0200X - Infectious Disease Physician |
| License Number | ME75316 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Addisu, Anteneh, President | Agent | 150 SE 17 TH STREET, Ste 801, OCALA, FL 34471 |
| Name | Role | Address |
|---|---|---|
| ADDISU, ANTENEH | Manager | 150 SE 17 TH ST, Ste 801 OCALA, FL 34471 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2020-03-19 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-03-19 | 150 SE 17TH ST, Ste 801, OCALA, FL 34471 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-03-19 | Addisu, Anteneh, President | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-03-19 | 150 SE 17 TH STREET, Ste 801, OCALA, FL 34471 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-22 |
| ANNUAL REPORT | 2023-02-08 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-01-30 |
| REINSTATEMENT | 2020-03-19 |
| Florida Limited Liability | 2018-03-13 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
