Entity Name: | IMMUNE INFUSION LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 17 Jan 2024 (a year ago) |
Document Number: | L24000033771 |
FEI/EIN Number | 99-1064443 |
Address: | 601 UNIVERSITY BLVD, SUITE 202B, JUPITER, FL 33458 |
Mail Address: | 601 UNIVERSITY BLVD, SUITE 202B, JUPITER, FL 33458 |
ZIP code: | 33458 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1568220051 | 2024-03-08 | 2024-06-03 | 601 UNIVERSITY BLVD STE 202B, JUPITER, FL, 334582788, US | 601 UNIVERSITY BLVD STE 202B, JUPITER, FL, 334582788, US | |||||||||||||||
|
Phone | +1 561-658-1323 |
Fax | 5617754990 |
Authorized person
Name | DR. RESHMA M KHAN |
Role | OWNER/PROVIDER |
Phone | 5616581323 |
Taxonomy
Taxonomy Code | 207RR0500X - Rheumatology Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
KHAN, MUSHARAF | Agent | 601 UNIVERSITY BLVD, SUITE 202B, JUPITER, FL 33458 |
Name | Role |
---|---|
PALM BEACH INTEGRATIVE RHEUMATOLOGY INC | Manager |
Name | Date |
---|---|
ANNUAL REPORT | 2025-02-05 |
Florida Limited Liability | 2024-01-17 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State