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