| Entity Name: | INFUSION CENTER OF JACKSONVILLE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Active |
| Date Filed: | 11 Feb 2019 (6 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 02 Nov 2023 (a year ago) |
| Document Number: | M19000001818 |
| FEI/EIN Number | 83-3533607 |
| Address: | 11512 Lake Mead Ave, Suite 302-303, Jacksonville, FL, 32256-9680, US |
| Mail Address: | 11512 Lake Mead Ave, Suite 302-303, Jacksonville, FL, 32256-9680, US |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336606383 | 2019-02-26 | 2022-04-11 | 1726 COLE BLVD STE 250, LAKEWOOD, CO, 804013262, US | 11512 LAKE MEAD AVE STE 302-303, JACKSONVILLE, FL, 322569680, US | |||||||||||||||||||
|
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| Phone | +1 720-465-5030 |
| Phone | +1 561-323-8987 |
Authorized person
| Name | SUE ELLEN ROTTURA |
| Role | CHIEF OPERATING OFFICER |
| Phone | 5613238987 |
Taxonomy
| Taxonomy Code | 207RR0500X - Rheumatology Physician |
| Is Primary | No |
| Taxonomy Code | 261QI0500X - Infusion Therapy Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| Multispecialty Physician Partners LLC | Manager | 1726 Cole Blvd, Lakewood, CO, 80401 |
| Name | Role | Address |
|---|---|---|
| Allen Dan | Chief Financial Officer | 11512 Lake Mead Ave, Jacksonville, FL, 322569680 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000118005 | VIVO INFUSION | ACTIVE | 2023-09-25 | 2028-12-31 | No data | 11512 LAKE MEAD AVE,STE 302-303, JACKOSNVILLE, FL, 32256 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-06 | 11512 Lake Mead Ave, Suite 302-303, Jacksonville, FL 32256-9680 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-06 | 11512 Lake Mead Ave, Suite 302-303, Jacksonville, FL 32256-9680 | No data |
| LC AMENDMENT | 2023-11-02 | No data | No data |
| LC AMENDMENT | 2019-08-19 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-06 |
| LC Amendment | 2023-11-02 |
| ANNUAL REPORT | 2023-01-20 |
| ANNUAL REPORT | 2022-03-22 |
| AMENDED ANNUAL REPORT | 2021-11-15 |
| AMENDED ANNUAL REPORT | 2021-04-02 |
| ANNUAL REPORT | 2021-01-26 |
| AMENDED ANNUAL REPORT | 2020-08-14 |
| ANNUAL REPORT | 2020-03-30 |
| LC Amendment | 2019-08-19 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
