| Entity Name: | FORT MYERS INFUSION LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 01 Aug 2023 (a year ago) |
| Document Number: | L23000362416 |
| FEI/EIN Number | 93-2688874 |
| Address: | 700 JESTER CT, PENSACOLA, FL 32506 |
| Mail Address: | 700 JESTER CT, PENSACOLA, FL 32506 |
| ZIP code: | 32506 |
| County: | Escambia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346015104 | 2023-11-21 | 2023-11-21 | 24840 S TAMIAMI TRL STE 1&2, BONITA SPRINGS, FL, 341347009, US | 24840 S TAMIAMI TRL STE 1&2, BONITA SPRINGS, FL, 341347009, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 239-314-0279 |
| Fax | 2393140279 |
Authorized person
| Name | KOKILA RAMANI |
| Role | OWNER |
| Phone | 2393140279 |
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 | Address |
|---|---|---|
| RAMANI, KOKILA | Agent | 700 JESTER COURT, PENSACOLA, FL 32506 |
| Name | Role | Address |
|---|---|---|
| RAMANI, KOKILA | Authorized Representative | 700 JESTER CT, PENSACOLA, FL 32506 |
| Name | Role | Address |
|---|---|---|
| RAMANI, ALPESH | Manager | 700 JESTER CT, PENSACOLA, FL 32506 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000139855 | VITAL CARE OF FORT MYERS | ACTIVE | 2023-11-15 | 2028-12-31 | No data | 24840 S. TAMIAMI TRIAL, SUITE 1 AND 2, BONITA SPRING, FL, 34134 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-16 |
| Florida Limited Liability | 2023-08-01 |
Date of last update: 09 Jan 2025
Sources: Florida Department of State
