| Entity Name: | BIG BEND INFUSION LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 02 Jun 2023 (2 years ago) |
| Document Number: | L23000265431 |
| FEI/EIN Number | 93-1763672 |
| Address: | 124 Marriott Drive Suite 105, TALLAHASSEE, FL, 32301, US |
| Mail Address: | 124 Marriott Drive suite 105, TALLAHASSEE, FL, 32301, US |
| ZIP code: | 32301 |
| County: | Leon |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932976206 | 2023-12-07 | 2024-01-03 | 124 MARRIOTT DR STE 105, TALLAHASSEE, FL, 323012981, US | 124 MARRIOTT DR STE 105, TALLAHASSEE, FL, 323012981, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 850-558-5588 |
| Fax | 8505585584 |
Authorized person
| Name | MUSA DARWISH |
| Role | OWNER/PHARMACISTS |
| Phone | 8505885588 |
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 |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| DARWISH MUSA M | Manager | 3148 DICK WILSON BLVD APT 2223, TALLAHASSEE, FL, 32301 |
| Name | Role | Address |
|---|---|---|
| Darwish Easa | Back | 3148 Dick Wilson Blvd, Tallahassee, FL, 32301 |
| Darwish Muhanad | Back | 3148 Dick Wilson Blvd Apt 926, Tallahassee, FL, 32301 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000155319 | VITAL CARE OF TALLAHASSEE | ACTIVE | 2024-12-23 | 2029-12-31 | No data | 124 MARRIOTT DRIVE, SUITE 105, TALLAHASSEE, FL, 32301 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-02 | 124 Marriott Drive Suite 105, TALLAHASSEE, FL 32301 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-02 | 124 Marriott Drive Suite 105, TALLAHASSEE, FL 32301 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-02 |
| Florida Limited Liability | 2023-06-02 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
