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METRO INFUSION CENTER, PLLC

Company Details

Entity Name: METRO INFUSION CENTER, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 04 Apr 2018 (7 years ago)
Document Number: L18000085659
FEI/EIN Number 82-5318226
Address: 13241 BARTRAM PARK BLVD., STE. 413, JACKSONVILLE, FL 32256
Mail Address: 901 MCCLINTOCK DR., STE. 203, BURR RIDGE, IL 60527
ZIP code: 32256
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1659862860 2018-05-23 2019-10-31 901 MCCLINTOCK DR STE 202, BURR RIDGE, IL, 605270872, US 311 BULLARD PKWY STE A, TEMPLE TERRACE, FL, 336175543, US

Contacts

Phone +1 630-655-7290
Phone +1 877-448-3627
Fax 8665071164

Authorized person

Name DR. RUSSELL M PETRAK
Role MANAGING PARTNER
Phone 6306557290

Taxonomy

Taxonomy Code 207RI0200X - Infectious Disease Physician
Is Primary Yes

Agent

Name Role
NRAI SERVICES, INC. Agent

Manager

Name Role Address
PETRAK, RUSSELL M Manager 901 MCCLINTLOCK DR., STE. 203, BURR RIDGE, IL 60527
HINES, DAVID Manager 901 MCCLINTLOCK DR., STE. 203, BURR RIDGE, IL 60527
FLIEGELMAN, ROBERT Manager 901 MCCLINTLOCK DR., STE. 203, BURR RIDGE, IL 60527

Documents

Name Date
ANNUAL REPORT 2024-02-02
ANNUAL REPORT 2023-01-26
ANNUAL REPORT 2022-02-10
ANNUAL REPORT 2021-01-27
ANNUAL REPORT 2020-01-17
ANNUAL REPORT 2019-02-20
Florida Limited Liability 2018-04-04

Date of last update: 18 Jan 2025

Sources: Florida Department of State