| Entity Name: | REVITALIZING INFUSION THERAPIES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 30 Apr 2019 (6 years ago) |
| Document Number: | L19000116703 |
| FEI/EIN Number | 834680977 |
| Address: | 100 EAST DAKIN AVENUE, KISSIMMEE, FL, 34741, US |
| Mail Address: | 100 EAST DAKIN AVENUE, KISSIMMEE, FL, 34741, US |
| ZIP code: | 34741 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508485756 | 2020-04-08 | 2023-11-09 | 100 E DAKIN AVE, KISSIMMEE, FL, 347415724, US | 100 E DAKIN AVE, KISSIMMEE, FL, 347415724, US | |||||||||||||||||||||||||||||||||
|
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| Phone | +1 321-442-0192 |
Authorized person
| Name | MICHAEL CRAIG BROWNING |
| Role | OWNER |
| Phone | 5733554158 |
Taxonomy
| Taxonomy Code | 103TC1900X - Counseling Psychologist |
| Is Primary | No |
| Taxonomy Code | 163WI0500X - Infusion Therapy Registered Nurse |
| Is Primary | No |
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | No |
| Taxonomy Code | 261QI0500X - Infusion Therapy Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| DESAI TUSHAAR | Agent | 1916 EAST ROBINSON STREET, ORLANDO, FL, 32803 |
| Name | Role | Address |
|---|---|---|
| BARRETT BRENT | Managing Member | 100 EAST DAKIN AVENUE, KISSIMMEE, FL, 34741 |
| Name | Role | Address |
|---|---|---|
| BROWNING MICHAEL | Manager | 100 EAST DAKIN AVENUE, KISSIMMEE, FL, 34741 |
| MCGOWAN MICHAEL | Manager | 100 EAST DAKIN AVENUE, KISSIMMEE, FL, 34741 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-20 |
| ANNUAL REPORT | 2023-02-03 |
| ANNUAL REPORT | 2022-03-01 |
| ANNUAL REPORT | 2021-01-22 |
| ANNUAL REPORT | 2020-06-22 |
| Florida Limited Liability | 2019-04-30 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
