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INFINITY HEALTHCARE FORT PIERCE LLC

Company Details

Entity Name: INFINITY HEALTHCARE FORT PIERCE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 03 Oct 2022 (2 years ago)
Document Number: L22000426128
FEI/EIN Number 92-0506295
Mail Address: 2730 NORTH STATE ROAD 7, MARGATE, FL, 33063, US
Address: 1803 S 25th Street, Suite 4, FORT PIERCE, FL, 34947, US
ZIP code: 34947
County: St. Lucie
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1720796469 2022-11-11 2022-11-11 2730 N STATE ROAD 7, MARGATE, FL, 330635726, US 1406 S 25TH ST, FORT PIERCE, FL, 349474706, US

Contacts

Phone +1 954-586-8058
Fax 7542226417
Phone +1 772-666-1801

Authorized person

Name JOSEPH DI CAPUA
Role CEO
Phone 7726661801

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Agent

Name Role Address
DI CAPUA JOSEPH Agent 398 MOHAWK LANE, BOCA RATON, FL, 33487

Manager

Name Role Address
DI CAPUA JOSEPH Manager 398 MOHAWK LANE, BOCA RATON, FL, 33487

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-02-10 1803 S 25th Street, Suite 4, FORT PIERCE, FL 34947 No data

Documents

Name Date
ANNUAL REPORT 2024-02-10
ANNUAL REPORT 2023-01-23
Florida Limited Liability 2022-10-03

Date of last update: 03 Feb 2025

Sources: Florida Department of State