Entity Name: | INFRAZA, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 08 Mar 2021 (4 years ago) |
Document Number: | L21000108876 |
FEI/EIN Number | 882151503 |
Address: | 618 E SOUTH ST, STE 500, ORLANDO, FL, 32801, US |
Mail Address: | 618 E SOUTH ST, STE 500, ORLANDO, FL, 32801, US |
ZIP code: | 32801 |
County: | Orange |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1972198364 | 2021-03-08 | 2021-03-08 | 2351 ALAQUA DR, LONGWOOD, FL, 327793123, US | 618 E SOUTH ST STE 500, ORLANDO, FL, 328012986, US | |||||||||||||||||
|
Phone | +1 407-349-4850 |
Authorized person
Name | DR. JAYARAM BRINDALA |
Role | AUTHORIZED MEMBER |
Phone | 4073494850 |
Taxonomy
Taxonomy Code | 2083A0300X - Addiction Medicine (Preventive Medicine) Physician |
Is Primary | No |
Taxonomy Code | 2083P0901X - Public Health & General Preventive Medicine Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
BRINDALA JAYARAM | Agent | 618 E SOUTH ST, ORLANDO, FL, 32801 |
Name | Role | Address |
---|---|---|
BRINDALA JAYARAM | Authorized Member | 618 E SOUTH ST, STE 500, ORLANDO, FL, 32801 |
TANCZOS MICHAEL | Authorized Member | 618 E SOUTH ST, STE 500, ORLANDO, FL, 32801 |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-02 |
ANNUAL REPORT | 2023-04-10 |
ANNUAL REPORT | 2022-03-12 |
Florida Limited Liability | 2021-03-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State