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BAYSIDE INFUSION SERVICES LLC

Company Details

Entity Name: BAYSIDE INFUSION SERVICES LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 24 May 2023 (2 years ago)
Document Number: L23000254320
FEI/EIN Number APPLIED FOR
Address: 8600 Hidden River Parkway, Suite 300, Tampa (Hillsborough), FL 33637
Mail Address: 8600 Hidden River Parkway, Suite 300, Tampa (Hillsborough), FL 33637
ZIP code: 33637
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1023891348 2023-08-18 2023-08-18 8600 HIDDEN RIVER PKWY STE 300, TAMPA, FL, 336371033, US 8600 HIDDEN RIVER PKWY STE 300, TAMPA, FL, 336371033, US

Contacts

Phone +1 352-584-0563

Authorized person

Name KYLE NEAL
Role OWNER
Phone 3525840563

Taxonomy

Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary No
Taxonomy Code 332BP3500X - Parenteral & Enteral Nutrition Supplies (DME)
Is Primary No
Taxonomy Code 333600000X - Pharmacy
Is Primary No
Taxonomy Code 3336C0004X - Compounding Pharmacy
Is Primary No
Taxonomy Code 3336H0001X - Home Infusion Therapy Pharmacy
Is Primary Yes

Agent

Name Role Address
NEAL, KYLE Agent 8600 Hidden River Parkway, Suite 300, Tampa (Hillsborough), FL 33637

Manager

Name Role Address
NEAL, JOHN Manager 2308 CAMP INDIANHEAD RD, LAND O LAKES, FL 34639
NEAL, KYLE Manager 2308 CAMP INDIANHEAD RD, LAND O LAKES, FL 34639

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000098232 VITAL CARE OF TAMPA ACTIVE 2023-08-22 2028-12-31 No data 8600 HIDDEN RIVER PARKWAY SUITE 300, TAMPA, FL, 33637

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-03-02 8600 Hidden River Parkway, Suite 300, Tampa (Hillsborough), FL 33637 No data
CHANGE OF MAILING ADDRESS 2024-03-02 8600 Hidden River Parkway, Suite 300, Tampa (Hillsborough), FL 33637 No data
REGISTERED AGENT ADDRESS CHANGED 2024-03-02 8600 Hidden River Parkway, Suite 300, Tampa (Hillsborough), FL 33637 No data

Documents

Name Date
ANNUAL REPORT 2024-03-02
Florida Limited Liability 2023-05-24

Date of last update: 09 Jan 2025

Sources: Florida Department of State