| Entity Name: | LAKE MARY INFUSION CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 24 Jul 2023 (2 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 09 Aug 2023 (a year ago) |
| Document Number: | L23000348444 |
| FEI/EIN Number | 93-2684593 |
| Address: | 105 COMMERCE ST, 109, LAKE MARY, FL 32746 |
| Mail Address: | 105 COMMERCE ST, 109, LAKE MARY, FL 32746 |
| ZIP code: | 32746 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104609866 | 2023-08-16 | 2024-08-14 | 105 COMMERCE ST STE 109, LAKE MARY, FL, 327466228, US | 105 COMMERCE ST STE 109, LAKE MARY, FL, 327466228, US | |||||||||||||||||||||
|
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| Phone | +1 267-939-1819 |
Authorized person
| Name | HELEN BUKRITSTKY |
| Role | PRESIDENT |
| Phone | 2679391819 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 261QI0500X - Infusion Therapy Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| BUKRITSKY, HELEN | Agent | 105 COMMERCE ST, 109, LAKE MARY, FL 32746 |
| Name | Role | Address |
|---|---|---|
| HENRY, NADER | Manager | 14001 CARTON DR, DAVIE, FL 33330 |
| BUKRISKY, HELENA | Manager | 241 PORCHESTER DR, SANDFORD, FL 32771 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2023-08-09 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-09 |
| LC Amendment | 2023-08-09 |
| Florida Limited Liability | 2023-07-24 |
Date of last update: 09 Jan 2025
Sources: Florida Department of State
