| Entity Name: | SIA-SPECIALTY INFUSION LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 13 Oct 2020 (4 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 30 Sep 2021 (3 years ago) |
| Document Number: | L20000323429 |
| FEI/EIN Number | 852367703 |
| Address: | 2200 GLADES ROAD #304, BOCA RATON, FL, 33431, US |
| Mail Address: | 2200 GLADES ROAD #304, BOCA RATON, FL, 33431, US |
| ZIP code: | 33431 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821699034 | 2020-11-04 | 2020-11-04 | 2200 GLADES RD STE 304, BOCA RATON, FL, 334317348, US | 2200 GLADES RD STE 304, BOCA RATON, FL, 334317348, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 561-955-7079 |
Authorized person
| Name | KEVIN SELTZER |
| Role | CEO |
| Phone | 5619557079 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Seltzer Kevin | Agent | 2200 GLADES ROAD #304, BOCA RATON, FL, 33431 |
| Name | Role | Address |
|---|---|---|
| SELTZER KEVIN | Authorized Member | 2200 GLADES ROAD #304, BOCA RATON, FL, 33431 |
| HERTZ JENNIFER | Authorized Member | 2200 GLADES ROAD #304, BOCA RATON, FL, 33431 |
| Name | Role | Address |
|---|---|---|
| Jeff Hertz | Manager | 2200 GLADES ROAD #304, BOCA RATON, FL, 33431 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2021-09-30 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2021-09-30 | Seltzer, Kevin | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-03 |
| ANNUAL REPORT | 2023-03-30 |
| ANNUAL REPORT | 2022-09-22 |
| REINSTATEMENT | 2021-09-30 |
| Florida Limited Liability | 2020-10-13 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
