Search icon

1ST AMERICA INFUSION SERVICES, LLC - Florida Company Profile

Company Details

Entity Name: 1ST AMERICA INFUSION SERVICES, LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Co.
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 10 Aug 2012 (13 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 04 May 2017 (8 years ago)
Document Number: M12000004543
FEI/EIN Number 20-3733871

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 212 Northside Drive, Valdosta, GA, 31602, US
Mail Address: 212 Northside Drive, Valdosta, GA, 31602, US
Place of Formation: GEORGIA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1376151423 2020-07-15 2023-08-17 212 NORTHSIDE DR, VALDOSTA, GA, 316021858, US 639 N HIGHWAY 231, PANAMA CITY, FL, 324054704, US

Contacts

Fax 2292429914
Phone +1 850-387-4312

Authorized person

Name SIMON CASTELLANOS
Role CEO
Phone 8774434006

Taxonomy

Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
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
Taxonomy Code 3336S0011X - Specialty Pharmacy
Is Primary No

Key Officers & Management

Name Role Address
Hall Juderal Jr. Manager 212 Northside Drive, Valdosta, GA, 31602
Castellanos Simon D Manager 212 Northside Drive, Valdosta, GA, 31602
Ford Michael Chief Operating Officer 212 Northside Drive, Valdosta, GA, 31602
NRAI SERVICES, INC. Agent -

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000009039 ADVANCED INFUSIONCARE ACTIVE 2021-01-19 2026-12-31 - 623 HIGHLAND COLONY PARKWAY, STE 100, RIDGELAND, MS, 39157
G17000046378 ADVANCED INFUSIONCARE ACTIVE 2017-05-01 2027-12-31 - 212 NORTHSIDE DRIVE, VALDOSTA, GA, 31602

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-09 212 Northside Drive, Valdosta, GA 31602 -
CHANGE OF MAILING ADDRESS 2024-04-09 212 Northside Drive, Valdosta, GA 31602 -
LC AMENDMENT 2017-05-04 - -
REGISTERED AGENT NAME CHANGED 2017-05-04 NRAI SERVICES, INC. -
REGISTERED AGENT ADDRESS CHANGED 2017-05-04 1200 S PINE ISLAND RD, PLANTATION, FL 33324 -

Documents

Name Date
ANNUAL REPORT 2024-04-09
ANNUAL REPORT 2023-02-24
ANNUAL REPORT 2022-03-30
ANNUAL REPORT 2021-04-23
ANNUAL REPORT 2020-05-28
ANNUAL REPORT 2019-03-23
ANNUAL REPORT 2018-06-28
LC Amendment 2017-05-04
ANNUAL REPORT 2017-01-08
ANNUAL REPORT 2016-01-23

Date of last update: 01 Mar 2025

Sources: Florida Department of State