Entity Name: | ENCORE INFUSION FLORIDA, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Inactive |
Date Filed: | 28 Jun 2021 (4 years ago) |
Date of dissolution: | 24 May 2023 (2 years ago) |
Last Event: | LC VOLUNTARY DISSOLUTION |
Event Date Filed: | 24 May 2023 (2 years ago) |
Document Number: | L21000298969 |
FEI/EIN Number | 87-1528888 |
Address: | 11641 KEW GARDENS AVE, PALM BEACH GARDENS, FL, 33410, US |
Mail Address: | 11641 KEW GARDENS AVE, PALM BEACH GARDENS, FL, 33410, US |
ZIP code: | 33410 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1497425425 | 2021-09-21 | 2023-02-24 | PO BOX 32789, PALM BEACH GARDENS, FL, 334202789, US | 3555 KRAFT RD UNIT 200, NAPLES, FL, 341055043, US | |||||||||||||||||||||||
|
Phone | +1 561-327-4970 |
Fax | 5618230829 |
Phone | +1 865-862-4557 |
Fax | 8658624556 |
Authorized person
Name | STACEY SHELTON |
Role | DIRECTOR OF BUSINESS DEVELOPMENT |
Phone | 5133139014 |
Taxonomy
Taxonomy Code | 208D00000X - General Practice Physician |
Is Primary | Yes |
Taxonomy Code | 261QI0500X - Infusion Therapy Clinic/Center |
Is Primary | No |
Name | Role |
---|---|
CORPORATION SERVICE COMPANY | Agent |
Name | Role | Address |
---|---|---|
INFUSION 2.0 HOLDINGS LLC | Authorized Member | 9943 KINGSTON PIKE, KNOXVILLE, TN, 37922 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
LC VOLUNTARY DISSOLUTION | 2023-05-24 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2022-10-05 | 11641 KEW GARDENS AVE, SUITE 211, PALM BEACH GARDENS, FL 33410 | No data |
CHANGE OF MAILING ADDRESS | 2022-10-05 | 11641 KEW GARDENS AVE, SUITE 211, PALM BEACH GARDENS, FL 33410 | No data |
Name | Date |
---|---|
LC Voluntary Dissolution | 2023-05-24 |
ANNUAL REPORT | 2023-04-28 |
ANNUAL REPORT | 2022-03-11 |
Florida Limited Liability | 2021-06-28 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State