| Entity Name: | BOETHEIA INFUSION & HEALTHCARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 Mar 2021 (4 years ago) |
| Document Number: | L21000128902 |
| FEI/EIN Number | 86-2983875 |
| Address: | 673-D Kingsley Ave, Orange Park, FL, 32073, US |
| Mail Address: | 673-D KINGSLEY, ORANGE PARK, FL, 32073, US |
| ZIP code: | 32073 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023776739 | 2021-11-30 | 2021-11-30 | 673 KINGSLEY AVE STE D, ORANGE PARK, FL, 320735480, US | 673 KINGSLEY AVE STE D, ORANGE PARK, FL, 320735480, US | |||||||||||||
|
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| Phone | +1 904-579-4372 |
Authorized person
| Name | ERICA WIMBERLY |
| Role | ALTERNATE ADMINISTRATOR |
| Phone | 9044458402 |
Taxonomy
| Taxonomy Code | 251F00000X - Home Infusion Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Singleton TYWANNZA | Agent | 673-D Kingsley Ave, Orange Park, FL, 32073 |
| Name | Role | Address |
|---|---|---|
| Singleton TYWANNZA | Authorized Representative | 673-D Kingsley Ave, Orange Park, FL, 32073 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-03-22 | Singleton, TYWANNZA | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-03 | 673-D Kingsley Ave, Orange Park, FL 32073 | No data |
| CHANGE OF MAILING ADDRESS | 2022-01-03 | 673-D Kingsley Ave, Orange Park, FL 32073 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-03 | 673-D Kingsley Ave, Orange Park, FL 32073 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-03-22 |
| ANNUAL REPORT | 2022-01-03 |
| Florida Limited Liability | 2021-03-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
