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DR. FUSION LLC

Company Details

Entity Name: DR. FUSION LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 21 Mar 2023 (2 years ago)
Document Number: L23000142634
FEI/EIN Number 92-3225686
Address: 100 S. Kentucky Avenue, Suite 255, LAKELAND, FL 33801
Mail Address: 100 S. Kentucky Avenue, Suite 255, LAKELAND, FL 33801
ZIP code: 33801
County: Polk
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1639863467 2023-06-05 2023-06-05 5337 N SOCRUM LOOP RD # 105, LAKELAND, FL, 338094256, US 4019 US HIGHWAY 98 N, LAKELAND, FL, 338093815, US

Contacts

Phone +1 863-209-7282
Phone +1 862-209-7282

Authorized person

Name JULYSSA COLON
Role OWNER
Phone 8622097282

Taxonomy

Taxonomy Code 261QI0500X - Infusion Therapy Clinic/Center
Is Primary Yes

Agent

Name Role Address
COLON, JULYSSA Agent 3913 AQUILLA DR, LAKELAND, FL 33810

Manager

Name Role Address
COLON, JULYSSA Manager 3913 AQUILLA DR, LAKELAND, FL 33810

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-10-31 100 S. Kentucky Avenue, Suite 255, LAKELAND, FL 33801 No data
CHANGE OF PRINCIPAL ADDRESS 2024-10-11 100 S. Kentucky Avenue, Suite 255, LAKELAND, FL 33801 No data

Documents

Name Date
ANNUAL REPORT 2024-02-08
Florida Limited Liability 2023-03-21

Date of last update: 10 Feb 2025

Sources: Florida Department of State